Pharmaceutical service refers to the use of pharmaceutical professional knowledge and tools by pharmaceutical personnel to provide various services related to medication to the public (including medical staff, patients and their families, and other groups concerned about medication). ).

The object of pharmaceutical service covers a wide range, but its service center is patients, which is patient-centered active service. Caring requires pharmacists to pay attention to various social factors that affect drug treatment, such as patients' psychology, behavior, environment, economy, lifestyle and occupation. The purpose is to make patients get safe, effective, economical and legal treatment drugs, achieve the purpose of comprehensive physical and mental recovery, and improve and improve the quality of human life.

Hepler put forward at the annual meeting of AACP in 1987 that "pharmacists should demonstrate the ability of drug control in the whole medical and health system in the next 20 years", and formally defined pharmaceutical service with Strand in 1990. In the early 1990s, the concept of pharmaceutical service was accepted by the pharmaceutical circle in China, and developed in a certain range.

With the deepening of the "Three Medicines (medical treatment, medicine and medical insurance) reform" and the improvement of the national drug supervision system, the responsibilities of pharmaceutical personnel have changed greatly. For pharmaceutical personnel in medical institutions, the main task is to provide patients with full-service including clinical application from preparation production to prescription preparation. Pharmaceutical service is a new subject for many pharmaceutical personnel, which requires comprehensive personnel training and scientific discussion, and also needs certain supporting construction in hardware.

Second, the main contents of pharmaceutical services:

Pharmaceutical care requires pharmaceutical personnel to use their professional knowledge and technology to ensure that patients get satisfactory drug treatment results and reduce the total medical expenses as much as possible. It not only needs suitable workplace and tools and the support of information technology, but also requires pharmaceutical personnel to have good academic qualifications, extensive knowledge, superb communication skills and rich practical experience. In terms of training, in addition to the knowledge of pharmacy, more and more comprehensive medical professional knowledge should be added.

Pharmacists should provide safe treatment drugs. First of all, the drugs required to be provided are qualified and of high quality, not only the internal quality, but also the outer packaging. This requires that drugs must be purchased in strict accordance with the requirements of laws and regulations and obtained from legal channels; There should be a suitable storage environment in the process of drug storage to reduce drug deterioration; When providing it to patients, it should be ensured that the drug is in a safe period of validity during taking the therapeutic drug. On the other hand, pharmaceutical personnel should have a clear understanding and grasp of the possible adverse reactions of the drugs provided, especially the serious adverse reactions of the drugs. On this basis, pharmacists should explain the correct usage of drugs and possible adverse reactions, especially serious adverse reactions, to patients in detail, so as to avoid possible harm to human body caused by adverse drug reactions. At the same time, it is necessary to strengthen the monitoring of adverse drug reactions and find any possible adverse reactions.

Pharmacists should provide effective treatment drugs. Pharmacists are required to fully understand the indications, action principles, action pathways, action characteristics, action intensity, use methods, compatibility contraindications, adverse reactions and other properties of the drugs provided. On the other hand, pharmaceutical personnel are required to receive medical knowledge training and master certain clinical medical knowledge. Pharmacists in outpatient or pharmacy should have a brief understanding of patients' symptoms, be good at finding unreasonable drugs in doctors' prescriptions and put forward suggestions for improvement; Clinical pharmacists should be able to provide doctors with comprehensive drug information and medication plans to help doctors use drugs correctly and rationally. Pharmacists are also required to actively go deep into the clinic, carry out therapeutic drug monitoring, carry out prescription analysis, and carry out research on new preparations and new dosage forms.

Pharmacists should provide economical treatment drugs. Due to the lag in the reform of medical care, medicine and medical insurance system, excessive medical expenses have brought huge economic burden to individuals, countries and society. On the one hand, health resources are seriously inadequate; On the other hand, health resources are seriously wasted. This requires pharmacists to master the methods and steps of pharmacoeconomics research and have the ability to comprehensively analyze all alternative treatment schemes (including drug treatment and non-drug treatment) from the aspects of minimum cost, cost-effectiveness, cost-effectiveness and so on, so as to provide patients with disease treatment schemes that are both economical and can improve their quality of life. This can greatly reduce the total cost of disease treatment and make the whole society healthy. ......