“互联网+药学”的实施现状及提升策略研究

Research on implementation status and improvement strategy of“Internet+Pharmacy”

目的梳理我国“互联网+药学”的实施途径、效果及存在的问题,为“互联网+药学”的实施改进提供依据,促进“互联网+药学”的持续健康发展。方法检索知网、万方和维普数据库,制定纳入和排除标准筛选文献后进行文本分析。结果共纳入52篇中文文献。江苏、武汉、成都、广州等地开展了“互联网+药学”实践,服务对象多为慢阻肺(COPD)、2型糖尿病、肿瘤癌痛、高血压、哮喘等慢病患者;服务内容主要是建立一体化药学服务平台实现患者线上复诊和续方、通过手机APP、微信公众号或者建立微信群等提供用药咨询及指导、后续随访和追溯反馈等3种方式;“互联网+药学”有效缓解了药师资源不足、提高了患者的用药依从性,促进了和谐医患关系的构建,但也存在药学服务体制及机制不完善、患者的接受度不高等问题。结论当前我国“互联网+药学”实施取得成效的同时也需在此基础上通过完善制度建设、提升公众认知等措施来推动“互联网+药学”的持续健康发展。

Objective To sort out the implementation ways,effects and existing problems of“Internet+pharmacy”in China,provide a basis for the implementation and improvement of“Internet+pharmacy”,and promote the sustainable and healthy development of“Internet+pharmacy”.Methods Search CNKI,Wanfang and VIP databases,formulate inclusion and exclusion criteria to screen literatures,and then conduct text analysis.Results A total of 52 Chinese literatures were included.Jiangsu,Wuhan,Chengdu,Guangzhou and other places have carried out the“Internet+pharmacy”practice,serving patients with chronic diseases such as COPD,type 2 diabetes,cancer pain,hypertension,and asthma.The service content is mainly to establish an integrated pharmaceutical care platform to realize online patient review and prescription,provide medication consultation and guidance,follow-up follow-up and retrospective feedback through mobile APP,wechat public account or wechat group.“Internet+pharmacy”has effectively alleviated the shortage of pharmacist resources,improved the medication compliance,and promoted the construction of a harmonious doctor-patient relationship,but there are also problems such as imperfect pharmaceutical care system and mechanism,and low acceptance of patients.Conclusion While the current implementation of“Internet+pharmacy”in China has achieved results,it is also necessary to promote the sustainable and healthy development of“Internet+pharmacy”through measures such as improving system construction and enhancing public awareness on this basis.