“互联网+”药学门诊用药管理体系的建立  

Construction of"Internet+"Pharmacy Clinic Medication Management System

作　　者：肖灿 刘湘 雷海波 李荣辉 龙靓 贺湘萍 谢希 曹文静 XIAO Can;LIU Xiang;LEI Haibo;LI Ronghui;LONG Liang;HE Xiangping;XIE Xi;CAO Wenjing(Xiangtan Central Hospital,Xiangtan,Hunan,China 411100)

机构地区：[1]湖南省湘潭市中心医院,湖南湘潭411100

出　　处：《中国药业》2024年第2期19-24,共6页China Pharmaceuticals

基　　金：湖南省卫生健康委科研课题[D202313019675]。

摘　　要：目的提高医院药学门诊的药学服务质量。方法制订及完善药学门诊的工作基本流程,统计患者就诊原因,并针对重点人群设计规范化药学服务流程,进行药学门诊用药管理体系的信息化建设,构建智能药学平台(简称平台)并与医院信息系统对接,建立患者用药管理数据库,同时开发平台知识库,构建“互联网+”药学门诊用药管理体系,据此分析2021年1月至2022年12月的医院药学门诊数据;并进一步设计监管统计功能,以客观分析门诊工作情况。结果共纳入医院药学门诊患者2276例,就诊原因以吸入装置(981例,43.10%),慢性病用药(573例,25.18%),妊娠期/哺乳期用药(249例,10.94%)为主;患者就诊时咨询问题以(药物的)用法用量为主(1474例),涉及药物以吸入类药物(1079例,73.20%)为主,其次为注射类降糖药(58例,3.93%),再次为眼/耳鼻喉外用药物(30例,2.04%)。结论该院已初步建立“互联网+”药学门诊用药管理体系,可更快地适应医药卫生体制改革政策下药学服务发展的需求,但仍需在实践中不断完善。Objective To improve the quality of pharmaceutical care in hospital pharmacy clinics.Methods The basic process of pharmacy clinic work was formulated and improved,the reasons for patient visits were analyzed,and the standardized pharmaceutical care process for key populations was designed,the intelligent pharmaceutical platform(referred to as the platform)was constructed for the information-based construction of the pharmacy clinic medication management system and connected with the hospital information system to construct a database for patient medication management,the platform knowledge base was developed to construct an"Internet+"pharmacy clinic medication management system,on this basis,the data of hospital pharmacy clinic from January 2021 to December 2022 were analyzed.The regulatory and statistical functions were designed for objective analysis of clinic work.Results A total of 2276 patients admitted to the hospital pharmacy clinic were included.The reasons for visits were mainly inhalation devices(981 cases,43.10%),medication for chronic diseases(573 cases,25.18%)and medication during pregnancy/lactation(249 cases,10.94%).The patients'consultation were mainly the usage and dosage of the medication(1474 cases);the drugs involved were mainly inhalants(1079 cases,73.20%),followed by hypoglycemic drugs for injection(58 cases,3.93%)and topical drugs for the eyes/ears,nose and throat(30 cases,2.04%).Conclusion The hospital has initially constructed an"Internet+"pharmacy clinic medication management system,which can promote the hospital to adapt quickly to the new development of pharmaceutical care under the reform of medical and health care system,but it still needs to be continuously improved in practice.

关 键 词：智能药学平台 药学门诊 用药管理体系 药学服务 

分 类 号：R95[医药卫生—药学]