浙江地区医疗机构的创新药学服务实践

Innovative Pharmaceutical Service Practice of Medical Institutes in Zhejiang Area

目的:为我国医院药学的进一步发展提供参考。方法:总结浙江地区18家三级医院、8家专科医院、6家三级中医院和中西医结合医院共32家医疗机构的创新药学服务实践方法。结果与结论:该地区医疗机构通过建设麻醉科卫星药房、开设药学服务门诊(包括开展老年综合评估多学科门诊药学服务、由药师管理的抗凝咨询门诊、由临床药师管理的内分泌咨询门诊、药学综合咨询门诊、药学单元模式的门诊药学服务)、创立多学科协作下的药事查房模式、开展基于药学科研的临床药学服务(包括治疗药物监测、基因检测)和基于循证的药学服务模式等创新药学服务模式,确保了患者用药安全,拓展了医疗服务空间,充实了医院药学服务内涵,可为其他地区医疗机构有效开展药学服务提供参考。

OBJECTIVE：To provide reference further development of hospital pharmacy in China. METHODS：Innovative pharmaceutical care method of hospital pharmacy was summarized in 32 medical institutions from Zhejiang area,including 18third-level hospitals,8 special hospitals,6 third-level TCM hospitals and integrated traditional and western medicine hospitals. RESULTS CONCLUSIONS：Medical institutions provide innovative pharmaceutical service to guarantee the safety of drug use,expand medical service space,enrich the connotation of pharmaceutical care,and provide reference for pharmaceutical care in medical institutions of other regions,such as establishing satellite pharmacy of anesthesiology department,opening outpatient department of pharmaceutical care（elderly comprehensive evaluation and multidisciplinary outpatient pharmaceutical care,anticoagulation consultation outpatient department and endocrine consultation outpatient department managed by pharmacists,comprehensive pharmacy consultation outpatient department,outpatient pharmaceutical care of pharmacy unit mode）,formulating pharmaceutical ward round mode under multidisciplinary cooperation,developing clinical pharmaceutical care based on pharmacy scientific research（drug monitor,gene detection）and evidence-based medicine.