县域医共体内药学服务同质化阶段性探索实践  

Phased Exploration and Practice of Homogenization of Pharmaceutical Care in the County Medical Community

作　　者：石爱平[1] 恽祥惠 吕建峰[1] 顾玲[1] 陈坤福[1] SHI Aiping;YUN Xianghui;LYU Jianfeng;GU Ling;CHEN Kunfu(Taixing People′s Hospital,Taixing,Jiangsu,China 225400)

机构地区：[1]江苏省泰兴市人民医院,江苏泰兴225400

出　　处：《中国药业》2022年第22期15-18,共4页China Pharmaceuticals

基　　金：江苏省医院协会医院管理创新研究课题[JSYGY-3-2019-37]。

摘　　要：目的提升县域医疗服务共同体(简称医共体)内药学服务和药事管理水平。方法选择江苏省泰兴市人民医院医共体内5家社区卫生服务中心作为试点医院,与该院一起共同构建药学服务同质化体系。2018年5月至2019年4月,通过对口帮扶、互联网+创新药学服务(IPS)、行政协调相结合的方式促进试点医院实现药学服务同质化。比较实施同质化前后试点医院药事管理质控数据(门诊处方合格率、抗菌药物使用合理率、抗菌药物使用强度、基本药物使用金额占比、麻精药品管理评分、病区药品管理评分)的改善情况、药师及所辐射的社区居民对药学服务的认知情况。结果实施后,试点医院的平均门诊处方合格率、抗菌药物使用合理率、抗菌药物使用强度、基本药物使用金额占比、麻精药品管理评分、病区药品管理评分分别为(90.76±3.86)%,(78.59±4.99)%,58.23±3.60,(66.27±2.65)%,(95.40±1.14)分和(83.00±3.16)分,显著优于实施前的(70.96±6.26)%,(59.38±3.00)%,71.59±3.18,(56.77±2.66)%,(83.40%±4.39)分和(56.20±8.76)分(P<0.05);试点医院药师及社区居民对药学服务的认知情况也明显提升(P<0.05)。结论对口帮扶、互联网+IPS、行政协调联合的阶段性探索实践能明显促进县域医共体内药学服务同质化。Objective To improve the ability of pharmaceutical care and pharmacy management of the county medical community.Methods Five community health service centers in the medical community of the Taixing People's Hospital in Jiangsu Province were selected as pilot hospitals to jointly build a pharmaceutical care homogenization system.From May 2018 to April 2019,the homogeneity of pharmaceutical care were promoted in pilot hospitals through the combination of counterpart assistance,Internet+innovative pharmaceutical care(IPS)and administrative coordination.The improvement of quality control data of pharmacy management[qualified rate of outpatient prescriptions,rational use rate of antibacterial drugs,daily defined doses(DDDs),proportion of consumption sum of essential drugs,drug management score of narcotic drugs and psychotropic substances,drug management score of the ward]in pilot hospitals,and the cognition of pharmacists and community residents on pharmaceutical care before and after the implementation of homogenization were compared.Results After the implementation,the average qualification rate of outpatient prescription,rational use rate of antibacterial drugs,DDDs,proportion of consumption sum of essential drugs,drug management score of narcotic drugs and psychotropic substances,and drug management score of the ward in pilot hospitals were(90.76±3.86)%,(78.59±4.99)%,58.23±3.60,(66.27±2.65)%,(95.40±1.14)points and(83.00±3.16)points,which were significantly higher than(70.96±6.26)%,(59.38±3.00)%,71.59±3.18,(56.77±2.66)%,(83.40%±4.39)points and(56.20±8.76)points before the implementation(P<0.05).The cognition of pharmacists in pilot hospitals and community residents on pharmaceutical care was also improved significantly(P<0.05).Conclusion The phased exploration and practice of counterpart assistance,Internet+IPS,and administrative coordination can significantly promote the homogeneity of pharmaceutical care in the county medical community.

关 键 词：县域医共体 药学服务同质化 对口帮扶 互联网+ 创新药学服务 行政协调 

分 类 号：R95[医药卫生—药学]