文章摘要
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
投稿时间:2024-04-17  修订日期:2024-06-18
DOI:
中文关键词: 药学门诊,服务模式,院内转诊,质量控制
英文关键词: pharmaceutical clinic  service model  transfer treatment within hospital  quality control
基金项目:北京协和医院中央高水平医院临床科研专项(编号 2022-PUMCH-B-058)
作者单位邮编
唐筱婉 中国医学科学院北京协和医院药剂科 100730
史亦丽 中国医学科学院北京协和医院药剂科 
梅丹 中国医学科学院北京协和医院药剂科 
唐彦 中国医学科学院北京协和医院药剂科 
闫雪莲 中国医学科学院北京协和医院药剂科 
都丽萍 中国医学科学院北京协和医院药剂科 
赵彬 中国医学科学院北京协和医院药剂科 
刘鑫 中国医学科学院北京协和医院药剂科 
左玮 中国医学科学院北京协和医院药剂科 
孙雯娟 中国医学科学院北京协和医院药剂科 
刘容吉 中国医学科学院北京协和医院药剂科 
徐小薇 中国医学科学院北京协和医院药剂科 
赵蕾蕾 中国医学科学院北京协和医院药剂科 
张波 中国医学科学院北京协和医院药剂科 
陈思 中国医学科学院北京协和医院 
牛子冉 中国医学科学院北京协和医院药剂科 
屈静晗 中国医学科学院北京协和医院药剂科 
王少红 中国医学科学院北京协和医院药剂科 
杜小莉* 中国医学科学院北京协和医院药剂科 100730
胡扬 中国医学科学院北京协和医院药剂科 
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中文摘要:
      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,结合医院实践经验,归纳总结北京协和医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:初步搭建北京协和医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、综合药学等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431例,其中接收院内转诊病例92例,占比21.3%,药学门诊意见采纳率为87.8%;互联网药学门诊接诊患者633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。
英文摘要:
      Abstract 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 of 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.Result: The pharmaceutical clinic service model of 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,and nutritional pharmacy, comprehensive pharmacy etc. 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, 431 patients were admitted to offline offline pharmaceutical clinic, of which 92 cases were transfer treatment within hospital, accounting for 21.3%; the Internet pharmaceutical clinic received 633 patients, which effectively 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.
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