县域医共体共享中药房信息平台的建设现状

Status of Establishment of Shared TCM Pharmacy Information Platform Based on County Medical Alliance

目的:为县域医共体共享中药房信息平台建设提供参考。方法:采用文献研究法,分析基层医疗卫生机构中药房的建设和发展现状,以及基于县域医共体建设共享中药房的可行性、优势和局限性;再从总体架构、业务模型、主要功能3个方面介绍县域医共体共享中药房信息平台的构建流程和方法。结果与结论:医共体和中医药振兴发展的政策、基层中医药服务能力提升的需要、现代信息技术的应用为县域医共体共享中药房建设提供了可行性。建设县域医共体共享中药房,可拓宽基层中药使用目录,整合分流人力资源,节约成本,提供同质化、规范化的药学服务,但其普遍受县域地域环境、政策支持、物流配送速度、成本利益分摊等非信息技术因素影响。县域医共体共享中药房信息平台主要是以县级中医医院牵头的中医医共体为主体,基于中医馆健康信息平台,从业务处理、业务管理、业务共享3个方面构建业务模型;其功能主要包括中药饮片全流程管理、中药调剂、中药煎煮、发药配送、药学服务、质量控制、便民服务、接口管理等。县域医共体共享中药房信息平台可以助力县域医共体共享中药房打通业务协同和信息共享通道、扩展中医药服务范围、提升基层中医药服务能力和水平。

OBJECTIVE:To provide reference for the construction of shared TCM pharmacy information platform based on county medical alliance.METHODS:By literature research,the construction and development of TCM pharmacy in primary medical and health institutions were analyzed,and the feasibility,advantages and limitations of shared TCM pharmacy based on county medical alliance were also analyzed.The construction process and method of shared TCM pharmacy information platform based on county medical alliance introduced from aspects of overall architecture,business model and main functions.RESULTS&CONCLUSIONS:The policies for the revitalization and development of medical alliance and TCM,the needs for the improvement of grass-roots TCM service ability,and the application of modern information technology provide the feasibility for the construction of shared TCM pharmacy based on county medical alliance.The construction of shared TCM pharmacy based on county medical alliance can broaden TCM list in the primary medical institutions,integrates and diverts human resources,save costs,and provides homogeneous and standardized pharmaceutical care.However,it is generally affected by non information technology factors such as county regional environment,policy support,logistics distribution speed,cost benefit sharing.The shared TCM pharmacy information platform based on county medical alliance is mainly based on the TCM alliance led by county-level TCM hospital,and constructs business model from three aspects:business processing,business management and business sharing on the basis of the health information platform of TCM department.Its main functions include the whole flow management of TCM decoction pieces,TCM dispensing,decocting,distribution,pharmaceutical care,quality control,convenient service and interface management and so on.The application of shared TCM pharmacy information platform based on county medical alliance helps the opening of the business cooperation and information sharing channel of shared TCM pharmacy based on county medical alliance expands the service scope of TCM,and enhances the TCM service ability in primary medical institutions.