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基于医联体的“3+2+1”联合药学门诊规范化建设与实践 被引量:4

Standardized Construction and Practice of″3+2+1″Pharmacists-Managed Outpatient Clinic Based on Medical Alliance
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摘要 目的探讨医疗联合体(简称医联体)“3+2+1”联合药学门诊新型药学服务模式的构建方式。方法参考美国药物治疗管理模式服务要点,结合上海交通大学医学院附属第六人民医院(简称市六医院)门诊实际工作流程,首先于2018年6月在该院开设肿瘤药学门诊,并设计开发药师工作站信息化平台,建立规范化工作流程,药师对肿瘤药学门诊的运行效果进行初步评价。通过肿瘤药学门诊规范化建设与实践,由三级甲等医院的药师团队对医联体社区医疗机构的药师团队进行专业指导及工作模式的培训,推动建立联合药学门诊。结果2021年5月20日、25日,市六医院药剂科分别与医联体内的徐汇区康健街道社区卫生中心和上海市第八人民医院(简称市八医院)共建“市六医院-康健联合药学门诊”“市六医院-市八医院联合药学门诊”,实现了医联体内药学服务连续化、同质化。截至2021年8月,市六医院肿瘤药学门诊接诊1469次,共发现并处理药物相关问题172件,药品不良反应305件,其他伴发疾病817件。结论“市六医院-市八医院-康健街道社区卫生中心”三位一体联合药学门诊是一种全新的“3+2+1”联合药学门诊模式,实现了医联体内药学服务同质化,提升了区域内药学服务能力。药师建立药学门诊,参与患者药物治疗管理,有利于保障患者用药安全,对临床具有重要意义。 Objective To investigate the construction of a new pharmaceutical care model of″3+2+1″pharmacists-managed outpatient clinic based on the medical alliance.Methods Based on the key elements of medication therapy management(MTM)in the United States and the actual work process of the outpatient department in the Shanghai Sixth People's Hospital Affiliated to Shanghai Jiao Tong University School of Medicine(hereinafter referred to as the Shanghai Sixth People's Hospital),the pharmacists-managed oncology outpatient clinic was established in the hospital in June 2018,and the information platform of the pharmacist workstation was designed and developed,the standardized working flow was established,and the operation effect of the pharmacists-managed oncology outpatient clinic was evaluated preliminarily by pharmacists.Through the standardized construction and practice of the pharmacists-managed oncology outpatient clinic,the pharmacist team of the tertiary hospitals provided professional guidance and working mode training for the pharmacist team of the medical institutions in the medical alliance,and promoted the establishment of the pharmacists-managed outpatient clinic.Results On May 20 and 25,2021,the″Shanghai Sixth People's Hospital-Kangjian pharmacists-managed outpatient clinic″was established by combing the Pharmacy Department of the Shanghai Sixth People's Hospital and the Shanghai Xuhui District Kangjian Community Health Service Center in the medical alliance,and the″Shanghai Sixth People's Hospital-Shanghai Eighth People's Hospital pharmacists-managed outpatient clinic″was established by combing the Pharmacy Department of the Shanghai Sixth People's Hospital and the Shanghai Eighth People's Hospital in the medical alliance,which realized the continuity and homogeneity of pharmaceutical care in the medical alliance.By August 2021,the pharmacists-managed oncology outpatient clinic in the Shanghai Sixth People's Hospital had received 1469 patients for treatment,and 172 drug-related problems(DRPs)were processed,305 adverse drug reactions were diagnosed,and 817 accompanied diseases were treated.Conclusion The″Shanghai Sixth People's Hospital-Shanghai Eighth People's Hospital pharmacists-Kangjian Community Health Service Center″is a new three-in-one model of″3+2+1″pharmacists-managed outpatient clinic,which realizes the homogenization of pharmaceutical care in the medical alliance and improves the capacity of pharmaceutical care in the community.Clinical pharmacists participate in MTM by establishing pharmaceutical clinic is conducive to ensuring the patients'medication safety,which is vital to clinical practice.
作者 赵新才 徐嵘 朱万虎 杨莉 王永刚 江静舟 郭澄 张剑萍 ZHAO Xincai;XU Rong;ZHU Wanhu;YANG Li;WANG Yonggang;JIANG Jingzhou;GUO Cheng;ZHANG Jianping(Department of Pharmacy,Shanghai Sixth People′s Hospital Affiliated to Shanghai Jiao Tong University School of Medicine,Shanghai,China 200233;Department of Oncology,Shanghai Sixth People′s Hospital Affiliated to Shanghai Jiao Tong University School of Medicine,Shanghai,China 200233;Department of Pharmacy,Shanghai Xuhui District Kangjian Community Health Service Center,Shanghai,China 200235)
出处 《中国药业》 CAS 2022年第22期8-12,共5页 China Pharmaceuticals
基金 上海市2020年度卫生健康委老龄化和妇儿健康研究专项[2020YJZX0205]。
关键词 联合药学门诊 药学服务 药师 药物治疗管理 医疗联合体 pharmacists-managed outpatient clinic pharmaceutical care pharmacist medication therapy management medical alliance
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