基于区块链技术构建区域药学服务综合平台  

Construction of Regional Integrated Platform for Pharmaceutical Care Based on the Blockchain Technology

作　　者：陈昱 卢庆红[1] 罗卉 贾立明 王静[1] 曹娟[1] CHEN Yu;LU Qinghong;LUO Hui;JIA Liming;WANG Jing;CAO Juan(Jiangxi Provincial Children’s Hospital,Nanchang 330000,China;Jiangxi Intelligent Health Research Institute,Nanchang 330000,China)

机构地区：[1]江西省儿童医院,南昌330000 [2]江西省智慧健康研究院,南昌330000

出　　处：《中国现代应用药学》2024年第11期1543-1548,共6页Chinese Journal of Modern Applied Pharmacy

基　　金：江西省卫生健康委科技计划项目(202211249,202311085)。

摘　　要：目的在江西省儿童医疗联盟内构建区域药学服务综合平台,实现儿科分级诊疗用药管理,提高药学服务质量。方法在江西省儿童医疗联盟各医疗机构间建立统一诊疗信息标准及儿童合理用药规则知识库,在此基础上结合区块链技术将患者在区域内各医疗机构就诊的医疗记录、用药信息通过结构化方式实时上传至链上,构建区域药学服务综合平台。结果基于区块链技术构建的药学服务综合平台,可使各医疗机构间医疗资源与信息得以共享,实现合理用药管理、远程审方、个体化用药指导、科普宣教、政府监管等,提高药学服务质量。结论通过构建儿童医疗联盟内的药学服务综合平台,可实现优质医疗资源(用药安全知识库、儿科药师)下沉,保障儿童用药安全的同时,为政府监管奠定了基础,具有较大的现实意义。OBJECTIVE To establish a comprehensive platform for regional pharmaceutical care among Jiangxi provincial pediatric alliance to realize the management of pediatric hierarchical diagnosis and treatment,and improve the quality of pharmaceutical care.METHODS A unified diagnosis and treatment information standard and a knowledge base of children's rational drug use rules were established among the medical institutions of Jiangxi provincial pediatric alliance.On this basis,the medical records and drug use information of patients in various medical institutions in the region were uploaded to the chain in a structured manner in real time,and a comprehensive platform for regional pharmaceutical care was built.RESULTS The comprehensive platform for regional pharmaceutical care built based on blockchain technology could share medical resources and information among medical institutions,realize rational drug use management,remote prescription review,individualized drug use guidance,popular science education,government supervision,etc.,and improve the quality of pharmaceutical care.CONCLUSION The comprehensive platform for regional pharmaceutical care among Jiangxi provincial pediatric alliance can help allocate high-quality medical resources(drug safety knowledge base and pediatric pharmacists)for primary medical institutions.Further more,it lays the foundation for government supervision at the same time ensuring children’s medication safety,which has great practical significance.

关 键 词：药学服务 合理用药 儿童医疗联盟 分级诊疗 区块链 

分 类 号：R951[医药卫生—药学]