新医改形势下我院药学门诊服务新模式的持续改进  

Continuous improvements for the new service model in outpatient pharmacy under the environment of medical reform

作　　者：卢进[1] 霍炎[1] 张东梅[1] 徐嵘[1] 李星霞[1] 杨黎[1] 张剑萍[1] LU Jin;HUO Yan;ZHANG Dongmei;XU Rong;LI Xingxia;YANG Li;ZHANG Jianping(Department of Pharmacy,Sixth People’s Hospital Shanghai Jiao Tong University Affiliated,Shanghai 200233,China)

机构地区：[1]上海交通大学附属第六人民医院药剂科,上海200233

出　　处：《药学实践杂志》2020年第5期469-475,共7页Journal of Pharmaceutical Practice

基　　金：上海市临床药学重点专科建设项目;2019年上海市卫健委临床研究专项基金(20194Y0052);上海市第六人民医院临床研究专项基金(ynlc201826);2020年上海交通大学医学院新型冠状病毒感染肺炎抗疫相关药事管理与合理用药研究专项基金(JDYX2020KYZX001);上海交通大学医学院临床药学创新研究院青年基金项目(CXYJY2019QN003)。

摘　　要：目的介绍第六人民医院基于新医改形势转型背景,开展相应的药学门诊服务新模式并持续改进的经验。方法介绍该院已开展的药学门诊服务过程中具体的药师的工作内容、职责、流程改进及成效。结果与结论该院已开展线下药学咨询门诊和线上基于微信平台的药学咨询服务,包括医师-药师联合专病门诊(阿尔茨海默病专病门诊、抗凝专病门诊)、药师独立门诊(肿瘤药学门诊),及“六院药师”微信咨询门诊。通过开设多样化药学门诊服务并履行持续改进措施,优化了患者治疗用药规范,保障了患者药物治疗的疗效、安全性、经济性及依从性,提供患者个体化用药的药学服务,大大减少了不良反应的发生,节约了治疗成本。该院所创立的多形式的药学门诊服务模式的改进取得了一定成效,可为医联体及全国医院药学门诊服务借鉴与推广。Objective To introduce the improvements of multi-mode outpatient pharmacy services based on the new medical reform policy.Methods The pharmacist’s roles,responsibilities,working procedures and the achievements were discussed.Results and conclusion On-site pharmacy counseling services and online WeChat pharmacy consulting services were established to include collaborative drug therapy management of pharmacists and physicians(Alzheimer's disease and anticoagulation clinic),the outpatient pharmacy services by pharmacists(chemo medication counseling).The multi-mode pharmacy services in our hospital have optimized patient's medication regime,safeguarded patient's medication therapy,improved patient's compliance and reduced medication cost.The individualized medication therapy reduced adverse reactions significantly.The multimode outpatient pharmacy services established by our hospital were successful and could serve as a model for other pharmacies in our country.

关 键 词：药学服务 药学服务转型 联合药物治疗管理 独立药师药学服务 新模式 

分 类 号：R95[医药卫生—药学]