基层医疗视角下共享中药房的发展

Development of shared traditional Chinese medicine pharmacy from the perspective of primary medical care

为使共享中药房在基层医疗中更高效、规范地发展,本文采用文献调研法,以“共享中药房”为检索词在中国知网、各级人民政府网、国家中医药管理局官网、人民网、中国新闻网、新华网等平台检索2022年5月20日前的报道、文献与政策,梳理出“共享中药房”与“智慧中药房”2种“互联网+”中药房的发展模式与历程,并进行相互比较。结合社区医院、社区服务中心(站)实际工作,从基层医疗角度出发得出“共享中药房”发展的必要性与优势(如其可减少药品流通中间环节从而降低成本、规范基层用药流程等),并结合共享中药房在县域医共体推广应用的现状,得出应从完善常态化背景下药品集采工作流程、提高全流程调剂信息系统模块的兼容性与同步性、统一药事服务及人才培养、界定数据查询权限、明确患者隐私界限4个方面进一步建设共享中药房。最后整合信息化技术,总结出共享中药房的定义以及未来建设方向,为共享中药房在基层的下一步发展提供参考。

In order to make the shared traditional Chinese medicine(TCM) pharmacy develop more efficiently and normatively at the grass-roots level, using the “shared TCM pharmacy” as the retrieval word, this paper uses the literature research method to retrieve the reports, documents and policies from CNKI, the websites of people’s governments at all levels, the official websites of the State Administration of Traditional Chinese Medicine, people.com, China News Network, Xinhua News and other platforms before May 20, 2022, sort out the development mode and history of two “Internet plus” TCM pharmacies, namely “shared TCM pharmacies” and “smart TCM pharmacies”, and compare them with each other. Combined with the actual work of community hospitals and community service centers(stations), the necessity and advantages(such as reducing the costs of the intermediate links of drug circulation and standardizing the grass-roots drug use process) of the development of “shared TCM pharmacy” are obtained from the perspective of primary medical care. Combined with the current situation of the promotion and application of shared TCM pharmacy in county medical communities, it is concluded that the shared TCM pharmacy should be further constructed from four aspects: improving the work process of drug centralized procurement under the background of normalization, improving the compatibility and synchronization of the whole process dispensing information system module, unifying pharmaceutical services and personnel training, defining the authority of data query and clarifying the boundaries of patient privacy to further build a shared TCM pharmacy. Finally, it integrates information technology, summarizes the definition of shared TCM pharmacy and its future construction direction, and provides reference for the next development of shared TCM pharmacy at the grass-roots level.