国内外基层医疗机构药学门诊现状分析

Analysis of the current performance of pharmacy outpatient services at grassroots medical institutions at home and abroad

基层医疗机构药学门诊可为患者提供专业药学服务,拓宽基层卫生服务范畴,满足居民合理用药需求。目前,我国基层医疗机构多通过药学服务联合体模式开展药学门诊,国外基层医疗机构主要通过赋予药师部分处方权为患者提供以药物治疗管理为核心的药学门诊服务。近年来,国内外基层医疗机构药学门诊服务在改善患者临床结局、提升用药合理性和增强患者依从性等方面取得良好成效,但同时存在不少有待解决的问题,包括公众认知度较低、药学人才短缺以及保障制度不完善等。笔者建议应加大药学门诊的宣传力度,完善药师培养机制,加强药师与临床医师合作,将药师纳入家庭医生签约服务团队,健全各项保障制度等,以期为推动我国基层医疗机构药学门诊服务的可持续发展提供参考。

Pharmacy services in grassroots medical institutions provide professional pharmacy services for patients.This service not only expanded the scope of primary care delivery,but also meets the residents′need for appropriate medication.At present,the majority of grassroots medical institutions in China provide outpatient pharmacy services by means of pharmacy service alliance,and foreign grassroots medical institutions mainly provide pharmaceutical outpatient services with drug treatment management as the core for patients by granting pharmacists partial prescription rights.In recent years,pharmaceutical outpatient services in grassroots medical institutions had achieved good results in improving patient clinical outcomes,enhancing medication rationality,and enhancing patient compliance.However,there were many unresolved issues,including low public awareness,shortage of pharmaceutical talents,and imperfect guarantee systems.The author suggestted that efforts should be made to increase the publicity of pharmaceutical outpatient services,improve the training mechanism for pharmacists,strengthen cooperation between pharmacists and clinical physicians,include pharmacists in the contracted service team of family doctors,and improve various guarantee systems,in order to provide reference for promoting the sustainable development of pharmaceutical outpatient services in grassroots medical institutions in China.