Establishment and practice of joint consultation mode between TCM physicians and TCM clinical pharmacists in our hospital

CHEN Fei; WANG Qian; WANG Haizheng; LIN Xiaolan; ZHUANG Wei

doi:10.6039/j.issn.1001-0408.2024.15.18

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Establishment and practice of joint consultation mode between TCM physicians and TCM clinical pharmacists in our hospital

更新时间：2024-08-11

- Establishment and practice of joint consultation mode between TCM physicians and TCM clinical pharmacists in our hospital
- ZHONGGUO YAOFANG Vol. 35, Issue 15, Pages: 1905-1909(2024)
- 作者机构：
  
  1.首都医科大学宣武医院药学部，北京　100053
  2.首都医科大学宣武医院中医科，北京　100053
- 作者简介：
- 基金信息：
- DOI：10.6039/j.issn.1001-0408.2024.15.18
  CLC： R95
- Published：15 August 2024，
  
  Received：16 January 2024，
  
  Revised：26 May 2024，
- 稿件说明：
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陈菲,王倩,王海征等.我院中医师与中药临床药师联合会诊工作模式建立及实践 ^Δ[J].中国药房,2024,35(15):1905-1909.

CHEN Fei,WANG Qian,WANG Haizheng,et al.Establishment and practice of joint consultation mode between TCM physicians and TCM clinical pharmacists in our hospital[J].ZHONGGUO YAOFANG,2024,35(15):1905-1909.
陈菲,王倩,王海征等.我院中医师与中药临床药师联合会诊工作模式建立及实践 ^Δ[J].中国药房,2024,35(15):1905-1909. DOI： 10.6039/j.issn.1001-0408.2024.15.18.

CHEN Fei,WANG Qian,WANG Haizheng,et al.Establishment and practice of joint consultation mode between TCM physicians and TCM clinical pharmacists in our hospital[J].ZHONGGUO YAOFANG,2024,35(15):1905-1909. DOI： 10.6039/j.issn.1001-0408.2024.15.18.

摘要

目的

为医疗机构选择和建立适用于自身临床特色的中药临床药学服务模式提供参考。

方法

结合临床案例，介绍我院中医师与中药临床药师联合会诊模式的工作流程、服务内容，并进行成效分析。

结果

我院联合会诊药学服务模式的工作流程分为评估患者用药情况，会诊查房、制定给药方案，床旁教育，药学监护，药学查房和药学延伸服务6个环节。该模式的服务内容主要包括会诊前充分收集临床信息，评估患者药物治疗方案；会诊中针对患者个体化情况，中药临床药师与中医师一起制定给药方案；会诊后开展床旁用药教育，保障患者正确用药；会诊后制定并执行药学监护计划；会诊后监测患者病情变化，及时反馈至会诊中医师以调整给药方案；会诊后提供药学延伸服务，开展药物咨询、药学门诊、联合门诊。该模式建立后，每年服务住院患者近1 000人次，服用中药饮片患者的医嘱审核率为100%；个体化用药教育占比达到78.80%，患者满意度为100%；病区中药饮片处方合格率由联合会诊工作开展前的89.33%提高至开展后的97.08%；每年为1 000余例患者提供中药相关咨询，为医护人员整理、提供药学资料近百份。

结论

通过建立中医师与中药临床药师联合会诊工作模式，开展中药临床药学服务，提高了中药饮片的合理使用水平，体现了中药临床药师价值。

Abstract

OBJECTIVE

To provide a reference for medical institutions in selecting and establishing a traditional Chinese medicine （TCM） clinical pharmaceutical care mode that suits their clinical characteristics.

METHODS

Combining clinical cases， this paper introduces the workflow and service content of the joint consultation mode between TCM physicians and TCM clinical pharmacists in our hospital and analyzes its effectiveness.

RESULTS

The workflow of the pharmaceutical care mode in our hospital involves six stages：assessing the patient’s medication status， consultation rounds and formulating medication regimen， bedside education， pharmaceutical monitoring， pharmacist rounds， and extended pharmaceutical care. The care content primarily includes thoroughly collecting clinical information and evaluating the patient’s medication regimen before the consultation. During the consultation， TCM clinical pharmacists and TCM physicians jointly developed a dosage regimen tailored to the patient’s individual conditions. After the consultation， bedside medication education was conducted to ensure the correct use of medications and a pharmaceutical monitoring plan was developed and implemented， during which the patient’s post-consultation condition changes were monitored and timely feedback to the TCM physicians for medication plan adjustments was provided， offering extended pharmaceutical care post-consultation， including medication consultation， pharmaceutical outpatient services， and joint clinics. Since its implementation， nearly 1 000 inpatients have been served annually， with a 100% medical order review rate for patients taking TCM decoction pieces. Individualized medication education reached 78.80%， and patient’s degree of satisfaction was 100%. The prescription compliance rate of TCM decoction pieces in the wards increased from 89.33% before the implementation of the joint consultation to 97.08% afterward. Additionally， the mode provided TCM-related consultations to over 1 000 patients annually and compiled and provided nearly a hundred pharmaceutical documents to healthcare personnel.

CONCLUSIONS

By establishing the joint consultation mode between TCM physicians and TCM clinical pharmacists and conducting TCM clinical pharmaceutical care， the level of rational use of TCM decoction pieces has been promoted， demonstrating the value of TCM clinical pharmacists.

关键词

中药临床药师中医师联合会诊药学服务

Keywords

TCM physiciansjoint consultationpharmaceutical care

references

王晓阳. 中药临床药师药学服务探索[J]. 中华医院管理杂志，2019（增刊2）：29-31.

WANG X Y. Exploration on pharmaceutical care of clinical pharmacists of traditional Chinese medicine[J]. Chin J Hosp Adm，2019（Suppl. 2）：29-31.

庄伟，林晓兰，郭景仙，等. 北京市二、三级医疗卫生机构中药临床药学开展现状调查分析[J]. 中国药房，2014，25（24）：2216-2218.

ZHUANG W，LIN X L，GUO J X，et al. Investigation and analysis of the development of TCM clinical pharmacy in second and third class hospitals of Beijing[J]. China Pharm，2014，25（24）：2216-2218.

曾聪彦，梅全喜. 医疗机构开展中药临床药学服务模式的探讨[J]. 中国药师，2015，18（7）：1136-1139.

ZENG C Y，MEI Q X. Exploration of service patterns of clinical pharmacy of traditional Chinese medicine in medical institutions[J]. China Pharm，2015，18（7）：1136-1139.

刘志燕，张相林. 基于医院实践的中药临床药学服务模式探索[J]. 中国医院用药评价与分析，2018，18（5）：717-720.

LIU Z Y，ZHANG X L. Exploration on traditional Chinese medicine clinical pharmaceutical service mode based on hospital practice[J]. Eval Anal Drug Use Hosp China，2018，18（5）：717-720.

庄伟，闫素英，林晓兰，等. 我院初诊药学查房的工作模式初探及案例分析[J]. 中国药房，2021，32（17）：2129-2133.

ZHUANG W，YAN S Y，LIN X L，et al. Working mode and case analysis of the first pharmaceutical ward rounds in our hospital[J]. China Pharm，2021，32（17）：2129-2133.

王含彦，郭冬梅，唐珍，等. 舒肝解郁胶囊的抗抑郁作用及其机制[J]. 中成药，2018，40（1）：187-190.

WANG H Y，GUO D M，TANG Z，et al. Antidepressant effect of Shugan jieyu capsule and its mechanism[J]. Chin Tradit Pat Med，2018，40（1）：187-190.

郭岳瀚. 圣约翰草抗抑郁的临床应用及药物相互作用[J]. 医师在线，2021，11（17）：21.

GUO Y H. The clinical application and drug interaction of St. John’s Wort[J]. J Dr Online，2021，11（17）：21.

兰琨熠，张清，沈悦好. GMAS、MMAS-8和SEAMS评估慢性病病人用药依从性效能的比较[J]. 护理研究，2023，37（13）：2322-2328.

LAN K Y，ZHANG Q，SHEN Y H. Comparasion of efficacy of GMAS，MMAS-8 and SEAMS in assessment of medication adherence among chronic disease patients[J]. Chin Nurs Res，2023，37（13）：2322-2328.

刘敏，程发峰，王庆国，等. 麻黄免疫调节作用研究进展[J]. 河北中医，2015，37（7）：1104-1106.

LIU M，CHENG F F，WANG Q G，et al. Research pro- gress in immunomodulatory effects of Ephedrae Herba[J]. Hebei Tradit Chin Med，2015，37（7）：1104-1106.

李东垣.珍珠囊补遗药性赋雷公炮制药性解合编[Ｍ].上海：上海科学技术出版社，1958：67.

LI D Y. Character of drugs in verse and explanation of Lei Gong’s book on the art of dispensing：combined edition[M]. Shanghai：Shanghai Scientific & Technical Publishers，1958：67.

罗维军，张维晴，罗新乐，等. 基于医联体模式下综合医院中医科建设探讨[J]. 中国医院，2022，26（10）：35-36.

LUO W J，ZHANG W Q，LUO X L，et al. Discussion on the construction of traditional Chinese medicine department in general hospitals based on the medical cluster model[J]. Chin Hosp，2022，26（10）：35-36.

刘应科，孙光荣. 中医优势病种的认识及发展建议[J]. 湖南中医药大学学报，2022，42（3）：498-503.

LIU Y K，SUN G R. Recognition and development suggestions of TCM predominant diseases[J]. J Hunan Univ Chin Med，2022，42（3）：498-503.

赵军，李婧，杨广源，等. 中医学术流派概论[J]. 中国民族医药杂志，2023，29（6）：64-66.

ZHAO J，LI J，YANG G Y，et al. Introduction to academic schools of traditional Chinese medicine[J]. J Med Pharm Chin Minor，2023，29（6）：64-66.

李德森，王英豪，吴水生. 临床中药师的定位与岗位服务能力培养的思考与建议[J]. 中国药房，2017，28（36）：5170-5173.

LI D S，WANG Y H，WU S S. Thinking and suggestion on positioning of clinical TCM pharmacists and the cultivation of post service ability[J]. China Pharm，2017，28（36）：5170-5173.

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