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1.南京医科大学鼓楼临床医学院,南京 210008
2.南京医科大学药学院,南京 211166
3.南京大学医学院附属鼓楼医院药学部,南京 210008
Published:30 December 2022,
Received:19 May 2022,
Revised:17 November 2022,
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陈心怡,谢菡,葛卫红等.国内外连续性药学服务的研究现状 Δ[J].中国药房,2022,33(24):3063-3066.
CHEN Xinyi,XIE Han,GE Weihong,et al.Research situation of continuous pharmaceutical care at home and abroad[J].ZHONGGUO YAOFANG,2022,33(24):3063-3066.
陈心怡,谢菡,葛卫红等.国内外连续性药学服务的研究现状 Δ[J].中国药房,2022,33(24):3063-3066. DOI: 10.6039/j.issn.1001-0408.2022.24.24.
CHEN Xinyi,XIE Han,GE Weihong,et al.Research situation of continuous pharmaceutical care at home and abroad[J].ZHONGGUO YAOFANG,2022,33(24):3063-3066. DOI: 10.6039/j.issn.1001-0408.2022.24.24.
随着我国社会老龄化及医药卫生体制改革的不断深入,药学工作人员致力于提供以患者为中心、高效科学的药学服务,连续性药学服务成为药学领域学者研究的焦点。本文采用文献研究法,对连续性药学服务的概念、重要性、维度和评价指标、国内外发展现状等进行综述,并提出发展建议。连续性药学服务在一些发达国家已发展成熟,在我国起步较晚,急需探索与开发适合于我国医疗卫生服务体系的评价指标。我国连续性药学服务主要是以医联体内综合医疗机构与基层医疗机构间协调合作为基础,根据患者个体情况,实现医疗机构间有序双向转诊,为患者在疾病预防、治疗期间及治疗后提供个体化药物治疗管理。建议同质化不同层级医疗机构的药学服务水平,推进政府、医保、上级医疗机构等多方合作,以提升基层医疗机构的药学服务水平,加快连续性药学服务体系的建设。
With the aging of Chinese society and the deepening of the reform of the medical and health system, pharmaceutical professionals are committed to providing patient-centered, efficient and scientific pharmaceutical care. Continuous pharmaceutical care has become the focus of scholars in this field. In this paper, the concept, importance, dimensions and evaluation indicators of continuous pharmaceutical care, as well as the development status at home and abroad, are reviewed by literature research, and suggestions for development are put forward. The continuous pharmaceutical care has been relatively mature in some developed countries. But in China, due to its late development, it is urgent to explore and develop evaluation indicators suitable for China’s medical and health service system. The continuous pharmaceutical care in China is mainly based on the coordination between comprehensive medical institutions and primary medical institutions within the medical consortium, achieves orderly two-way referral between medical institutions according to the individual situation of patients, and provides individualized drug treatment management for patients during disease prevention, treatment and after treatment.It is suggested to homogenize the pharmaceutical care of medical institutions at different levels, promote the cooperation among the government, medical insurance, superior medical institutions, etc., so as to improve the pharmaceutical care of primary medical institutions and accelerate the construction of a continuous pharmaceutical care system.
连续性药学服务医联体现状研究
medical consortiumpresent situation research
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