慢病管理的药学服务模式探讨

Pharmaceutical care model on chronic disease management

本文介绍了在慢病管理的宏观发展趋势下,我院临床药师提供慢病药学服务的新模式。文章主要结合案例介绍药学服务的内涵和流程,同时与国内外文献报道的慢病管理模式进行比较,阐明了药师在团队式慢病管理中的主要作用:为临床医生提供药物信息,为患者做用药咨询和指导,建立重点患者档案对治疗进行追踪和评估,并实现了收取药学咨询费用。患者通过药学服务提高了用药的正确率和依从性,治疗获益明显优化。临床药师参与慢病管理的药学服务具有经济和社会双重效益,是一种值得推广的新方法。

A new model of pharmaceutical practice on chronic disease management under the macropolicy was introduced.We described the content and process of the pharmaceutical care with a case,and compared ours with those reported by literatures at home and abroad.The clinical pharmacists provided drug information to the clinicians and personal consultation to the patients,established patient profile to follow up and evaluated the outcomes of the treatment in the medical care team.The clinical pharmacists improved the medication use accuracy and compliance of the patients,and finally optimized the outcomes of the treatment.The pharmacy consulting fee was charged by pharmacist for the pharmaceutical care service.The practice brought both economic and social benefits for the pharmacists.It is meaningful for clinical pharmacist to participate in chronic disease management and provide pharmaceutical care,which is worth further expanding.