新医改形势下药学服务与药师价值的探索

doi:10.5246/jcps.2018.09.065

摘要/Abstract

摘要：

全国实行药品“零加成”, 这标志着传统的“以药养医”时代的结束。药师以药房为主的工作模式将逐渐淡化, 以临床药学和用药监护为主的模式日趋成熟。然而在新医改形势下, 药师如何发挥自身作用和开展相关工作还不太清晰。本文对相关文献进行了查阅和归纳分析, 调研显示中国和一些先进国家的药学发展仍存在着较大的差距。论证表明新的药师角色是作为医疗服务的给予者, 旨在增强药学服务的有效性和提高药学服务质量, 进而保证患者的用药安全。我国药师需要努力进行角色的转换并推动这种新态势的发展, 主要体现在加强门诊处方和病区医嘱单干预、深入临床服务和患者的个体化用药、自我提升和增强公众对药师价值的认可等方面。综上所述, 只有通过提高药师的专业水平, 展现药师的价值, 最终保证患者的用药安全, 医院药学才能快速发展, 真正的药学服务才能实现。

关键词: 药学服务, 药师价值, 患者治疗, 临床药学

Abstract:

Zero addition of drugs is an important aspect of medication reformation in the whole country, which is the end of the era of medicine. The role of pharmacists is changing from being medication dispensers to outcome-oriented and patient-focused care providers. However, it is still unclear how to play the role of pharmacists and carry out the related work in the new situation. Here, literature for relevant evidence was searched and summarized. Analysis results showed that there was a significant gap between pharmacy practice in China and developed countries. Evidence has supported pharmacists in their emerging role as care providers, that is available to improve the efficacy and quality of pharmaceutical care and ensure the safety of medicines for patients, but still more efforts are needed to promote new attitude toward more professional career, such as paying attention to the examination of outpatient prescription and medical orders, deeply clinical practice and individualized treatment, self-enhancement and public awareness of pharmacists. Collectively, the safety of patients can be ensured only by improving profession of pharmacists and showing the value of pharmacists. In doing so, pharmacy can develop rapidly, and pharmaceutical care with rational drug use can be realized.

Key words: Pharmaceutical practice, Value of pharmacists, Patient care, Clinical Pharmacy

中图分类号:

R951

Supporting:

冯书云, 郭锦辉, 卢乙众. 新医改形势下药学服务与药师价值的探索[J]. 中国药学(英文版), 2018, 27(9): 630-636.

Shuyun Feng, Jinhui Guo, Yizhong Lu. Pharmaceutical practice and value of pharmacists under the new medical reform situation[J]. Journal of Chinese Pharmaceutical Sciences, 2018, 27(9): 630-636.

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