Pharmaceutical service is a modern pharmaceutical work mode that provides various services related to medication, and it is a variety of activities and services centered on customers or their health. The following is what I collected for you. Welcome to read the reference!

1 hospital pharmaceutical service analysis

This paper introduces the concept of pharmaceutical care, and analyzes the significance and content of pharmaceutical care in medical units, as well as the difficulties, countermeasures and prospects of pharmaceutical care in medical units.

[Keywords:] medical unit; Pharmaceutical services; Suggestions; prospect

As an important part of modern hospitals, pharmacy has gradually developed from simple drug supply to pharmaceutical service. An important direction of the reform of the working mode of hospital pharmacy department is to develop towards pharmaceutical service, which has become the only way for the development of hospital pharmacy. Based on the author's experience in clinical pharmacy for many years, this paper discusses the significance, existing problems and future development goals of pharmaceutical services in medical units.

1 the concept of pharmaceutical service

Pharmaceutical service refers to providing consulting information service for individual patients and solving the medication problem of individual patients [1]. HeplerStrand et al. 1990, 1998 and 2004 developed the concept of pharmaceutical service into "a patient-centered practice, in which medical practitioners are responsible for patients' drug-related needs and take responsibility for them". This definition advocates patient-centered practical activities, and the executors of pharmaceutical services extend the suite to practitioners.

2 the significance of pharmaceutical care

Pharmaceutical care can promote the rational use of drugs in medical units, improve the therapeutic effect of drugs, reduce the adverse reactions of drugs and effectively prevent some drug-induced diseases; In order to cure patients' diseases, eliminate or alleviate symptoms, improve patients' quality of life and prolong patients' lives, and finally achieve the ultimate goal; Because it greatly reduces or eliminates the irrationality of drug use, it can effectively save drug resources and reduce the medical expenses of society and individuals, thus winning the praise of patients and obtaining good social benefits.

3 medical units to carry out pharmaceutical care content

The work of pharmaceutical care in medical units includes: dynamic management of hospital prescription sets, participation in the formulation of treatment norms and clinical guidelines; Participate in patient treatment and provide pharmaceutical consultation and information; Obtain the patient's medication history and establish the medication medical record; Prescription quality should be monitored to identify patients and risk factors for treatment; Can prevent, monitor and report adverse drug reactions; Adjust individual drug dosage; Establish physician Yamatonokusushi's rounds and consultation system; Providing education and consulting patients; Evaluate the use of drugs; Health promotion, etc.

4 medical units to carry out pharmaceutical care problems

4. 1 Medical units do not have the policy environment for pharmaceutical care.

At present, only the Drug Administration Law and relevant laws and regulations regulate the professional behavior of pharmacists in China. Pharmacists can only carry out business activities within the scope of their functions and powers under the conditions permitted by laws and regulations. The Pharmacist Law has been brewing since the qualification certification of licensed pharmacists. Pharmaceutical care will be promoted in hospitals, and corresponding provisions will be added in the Pharmacist Law and related laws and regulations. Moreover, people should fully understand the role of pharmacists in hospital clinical treatment, such as rational drug use supervision, guidance, and drug delivery plan, otherwise pharmaceutical services will not be carried out.

4.2 Pharmacists lack clinical knowledge, and the certification system and training are not perfect.

As a Shinyakushi, the training and certification system of pharmaceutical services is not perfect. Most pharmacists have no academic qualifications and clinical courses for continuing education. For clinical pharmaceutical services, pharmacists must have clinical knowledge and skills and constantly update and improve, and the relevant training or examination and certification system also needs to be continuously improved, which is the best situation that laws and regulations can reflect.

4.3 Functional changes require a certain adaptation process.

The function of pharmacists in medical units has changed from the traditional "ensuring drug quality and supplying drugs" to "taking patients as the center, being responsible for patients' drug demand and being responsible for them" [2]. Pharmaceutical care requires pharmacists to participate in the formulation of drug treatment plans and bear the same responsibilities. Pharmacists have the right to correct the doctor's treatment plan, and pharmacists need to consult medical records at any time and participate in rounds. Pharmacists, doctors, nurses and other personnel in hospitals need a certain adaptation process to this functional transformation.

4.4 Functional conversion brings obstacles to patients' consciousness.

Pharmaceutical care requires pharmacists to participate in the treatment process of patients and follow up. It is a long-term process for pharmacists to gain the recognition and cooperation of patients, improve the compliance of patients and change the consciousness that only doctors can see a doctor. It is necessary to carry out a lot of publicity and education for patients and constantly improve their pharmaceutical level and clinical skills in practice.

4.5 pharmaceutical personnel configuration is not in place

Pharmaceutical care needs a large number of pharmaceutical personnel, and limited personnel need to carry out more work, which has become one of the difficulties for medical units to carry out pharmaceutical services. At present, the pharmacy department of medical units must change ideas, raise awareness, strengthen personnel training and gradually promote pharmaceutical services.

4.6 Lack of hardware and software support conditions

First of all, it needs the support and recognition of administrative leaders; Secondly, to carry out business requires the investment of personnel, places, instruments and equipment, and activity funds; Furthermore, it is necessary to formulate operational pharmaceutical service management methods and operating procedures, and establish a drug calendar and a ward round system. At present, there is a big gap between medical units in terms of cognition and software and hardware conditions.

5 countermeasures

It is an inevitable trend for medical units to carry out pharmaceutical services, but it cannot be done overnight. It is necessary to change consciousness, do a good job in talent training and implement it in stages.

5. 1 consciousness transformation

With the reform of medical system, the state pays more attention to the control of medical expenses, the traditional medicine supply mode in hospitals is changing, and the positioning of pharmaceutical personnel in hospitals is also changing quietly. If hospitals want to change the nature and status of pharmacy, they should not regard it as drug supply and dispensing. Pharmacists should start with changing their own consciousness, establish a patient-centered thought, and correctly understand and publicize pharmaceutical services.

5.2 Establish a systematic long-term training system

Pharmacists should focus on the future, consciously and independently study pharmacy and clinical related knowledge, pay attention to the latest information, participate in clinical practice, improve clinical skills, strengthen communication and education with medical staff and patients, establish a systematic and long-term training system, and establish a certification system in due course.

6 pharmaceutical service prospects

Pharmaceutical service has developed rapidly in many developed countries, and it is just around the corner for primary medical units in China to implement pharmaceutical service. Many leaders in the pharmaceutical field have accepted the concept of pharmaceutical service, and are planning and implementing the transformation of pharmacy from simple dispensing function to clinical specialty [3]. It is believed that in the near future, pharmacists in primary medical units can promote rational drug use, improve the quality of treatment, reduce medical expenses, protect patients' health and improve their quality of life through professional skills; The self-value and social value of hospital pharmacists can also be realized through pharmaceutical services.

refer to

Han Xiaojie. Implementing pharmaceutical service and improving the level of pharmaceutical service [J]. China Applied Medicine, 2009, 4***2 1***:259-260.

[2] Hu Jinhong. American hospital pharmacy [M]. Shanghai: Shanghai Second Military Medical University Press, 2007: 1 16.

, Ling, Ge. Practice and experience of clinical pharmacy [J]. Pharmacists in China, 2006, 8 * * * 6 * *: 496.

& gt& gt& gt The next page will bring more.