COVID-19疫情期间门诊药学服务O2O模式的实践与探讨

Practice and discussion of outpatient pharmaceutical care based on O2O model during COVID-19 epidemic

目的:新冠肺炎疫情期间为慢性病复诊患者提供治疗用药和药学服务,降低非新冠肺炎患者的死亡率并减缓病情进展,积极探索门诊药学服务线上线下相结合(online to offline,O2O)模式。方法:基于我院线上问诊平台,增加线上处方和药品邮寄模块,统计分析2020年2月19日-2020年3月7日线上门诊药学服务实践中患者年龄、就诊科室以及处方审核、药品调剂等相关数据。结果:开展线上药学服务后,线上问诊10 269人次,就诊科室主要为心内科、神经内科、感染科、内分泌科等慢性病科室;医院药师调剂线上处方6 880张,调剂药品总数125 864盒/瓶,有效缓解了慢性病患者用药困难。患者就诊年龄集中于20~70岁,35岁以上患者达到74.30%,表明中老年患者可通过自身或他人帮助享受慢性病线上就诊服务。药师处方审核率100%,审核不通过处方483张,不合格率7.02%,主要不合理因素为用法用量不适宜。结论:新冠肺炎疫情期间,开展线上门诊药学服务对防控疫情和救治慢性病患者具有重要作用,也表明公立医院和患者已具备共同参与"互联网+医疗"的能力。门诊药师应积极探索药学服务O2O模式,借助"互联网+"重构药品供应保障服务体系,挖掘和重塑药师的专业价值。

OBJECTIVE To provide drug treatment and pharmaceutical care to the patients with chronic diseases,and to reduce the mortality of non-COVID-19 patients and slow down the progression of the disease,and actively explore the online to offline(O2 O)model of outpatient pharmaceutical care.METHODS Based on the online interview platform of our hospital,the on-line prescription and drug mailing module were added,and the relevant data of patient age,visiting department,prescription review,and drug dispensing in the online outpatient pharmaceutical care practice from February 19,2020 to March 7,2020 were statistically analyzed.RESULTS After carrying out pharmaceutical care on the line,10269 patients were interviewed on the line,and the main visiting departments were cardiology,neurology,infection,endocrinology and other chronic disease departments;hospital pharmacists dispensed 6880 prescriptions on the line,and the total number of dispensed drugs was 125864 boxes/bottle,which effectively alleviated the difficulty in medication for patients with chronic diseases.The age of patient presentation was concentrated in 20-70 years,reaching 74.30%in patients over 35 years of age,indicating that middle-aged and elderly patients can enjoy chronic disease line treatment services through their own or others’help.The review rate of pharmacists’prescriptions was 100%,483 prescriptions failed to pass the review,and the failure rate was 7.02%.The main unreasonable factor was inappropriate usage and dosage CONCLUSION The development of online outpatient pharmacy service is very important for preventing and controlling the epidemic situation and treating chronic diseases.Outpatient pharmacists should actively explore the O2 O mode of pharmaceutical care,reconstruct the drug supply system with the application of"Internet plus",and rebuild the professional value of pharmacists.