北京协和医院药学门诊服务模式探索与实践

Exploration and Practice of Pharmaceutical Clinic Service Mode in Peking Union Medical College Hospital

目的:探索建立北京协和医院(以下称我院)药学门诊服务模式。方法:查阅国内外文献、开展调查研究,结合实践经验,归纳总结我院药学门诊服务管理制度、操作规程、服务内容和质控体系;分析药学门诊服务发展的挑战,提出促进药学门诊服务发展的建议。结果:初步搭建我院药学门诊服务模式,门诊类型包括线下药学门诊和互联网药学门诊,就诊途径包括患者自主挂号和医生院内转诊,覆盖专科包括妊娠哺乳期、糖尿病、冠心病、抗栓治疗、呼吸系统疾病、多重慢病、消化系统疾病、神经精神系统疾病、免疫系统疾病、肺癌抗肿瘤、营养药学、综合药学共12个方向的药物治疗管理,电子记录采用定制的药学门诊电子表单,既能满足药学门诊工作需求,又能实现与临床诊疗病历互查。截至2023年10月31日,线下药学门诊接诊患者426例,其中接收院内转诊病例92例,占比21.6%,药学门诊意见采纳率为87.8%;互联网药学门诊接诊患者543例,为临床患者切实解决了用药难题。结论:线上+线下药学门诊服务模式可以更好地满足患者的医疗需求,实现以患者为中心的药学服务转型。

Objective:To explore the establishment of pharmaceutical clinic service model in Peking Union Medical College Hospital(hereinafter referred to as our hospital).Methods:The management system,operating procedures,service contents and quality control system of pharmaceutical clinic service in our hospital were summarized by consulting domestic and foreign literature,conducting investigation and research,and combining with hospital practice experience;the challenges of the development of pharmaceutical clinic service were analyzed,and the suggestions for promoting the development of pharmaceutical clinic service were put forward.Results:The pharmaceutical clinic service model in our hospital has been initially established.The clinic service types include offline pharmaceutical clinic and Internet pharmaceutical clinic.The treatment channels include patients'independent registration and transfer treatment within hospital.There are 12 specialties,including drug therapy management of pregnancy and lactation,diabetes,coronary heart disease,anti-thrombotic therapy,respiratory diseases,multiple chronic diseases,digestive diseases,neuropsychiatric diseases,immune system diseases,lung cancer and anti-tumor,nutritional pharmacy,and comprehensive pharmacy.The customized electronic form can not only meet the needs of pharmaceutical clinic work,but also realize the mutual examination of medical records with clinical treatment.As of October 31,2023,426 patients were admitted to offline pharmaceutical clinic,of which 92 cases were transferred within hospital,accounting for 21.6%;the internet pharmaceutical clinic received 543 patients,which ef fectively solved the problem of drug use for clinical patients.Conclusion:The online and offline pharmaceutical clinic service model can better meet the medical needs of patients,realize the transformation of patient-centered pharmaceutical care.