北京中医医院中药药物治疗管理门诊服务模式的构建及评价指标探讨  

Construction of Outpatient Service Model and Evaluation Index of TCM Drug Therapy Management in a Traditional Chinese Medicine Hospital

作　　者：刘洋[1] 李文喆[1] 范峥[1] 常馨予[1] 韩丽娟[1] Liu Yang;Li Wenzhe;Fan Zheng;Chang Xinyu;Han Lijuan(Beijing Hospital of Traditional Chinese Medicine,Capital Medical University,Beijing 100010,China)

机构地区：[1]首都医科大学附属北京中医医院,北京100010

出　　处：《中国药事》2023年第3期334-341,共8页Chinese Pharmaceutical Affairs

基　　金：北京市属医院科研培育计划(编号PG2020022)。

摘　　要：目的:介绍北京中医医院中药药物治疗门诊的服务模式,并对其评价指标进行探索,为其他药学门诊的开展提供参考和建议。方法:介绍中药药物治疗管理门诊的开设背景、服务流程,并对2021年7-12月期间接诊的59例患者的基本信息、药物治疗相关问题及行动计划制定情况、就诊后改善情况进行统计分析。结果:就诊患者以60岁以上女性为主。共发现药学相关问题230个,人均3.9个,其中最多的问题是适应证类别下的不必要的药物治疗,主要原因是中医辨证与用药不符。共制定行动计划236个,人均4.0个。干预后依从性、疾病及药物治疗知晓度、中医健康素养评分均显著提高。结论:该中药药物治疗管理门诊的服务模式可有效促进患者安全合理使用中药,提升治疗效果。Objective: To introduce the outpatient service mode of TCM drug therapy in a traditional Chinese medicine hospital, explore the evaluation indexes, so as to provide reference and suggestions for the development of other pharmaceutical outpatient services. Methods: The establishment background and specifi c service process of the TCM drug treatment management clinic were introduced, and the basic information, drug treatment problems, action plans and improvement of 59 patients received from July 2021 to December 2021 were statistically analyzed. Results: Most of the patients were women of over 60 years old. A total of 230 problems related to pharmacy were identifi ed, with an average of 3.9 per person. Among which unnecessary drug treatment under the indication category was the most common problem, mainly due to the inconsistency between TCM syndrome dif ferentiation and drug use. A total of 236 action plans were formulated, with an average of 4.0 per person. Compliance, awareness of disease and drug treatment, and TCM health literacy scores were signifi cantly improved. Conclusion: The service mode of TCM drug treatment management clinic could ef fectively promote the safe and rational use of TCM and improve the treatment ef fect.

关 键 词：中药药学门诊 药物治疗管理 中药师 药学服务 模式 

分 类 号：R917[医药卫生—药物分析学]