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为适应医院药剂科由传统供应管理型工作模式向综合技术服务型转变,本文就开展临床药学,参与临床合理用药,实行药学临护(PC),开设非处方药(OTC)药房等几方面工作进行了初步探讨,旨在促使医院药剂科及时跟上时代发展,适应工作模式转变,尽快与国际医药体制接轨。(1)临床药学是医院药学的核心,开展临床药学的目的是保障合理用药,减少药源性疾病的发生。院内感染是临床药学的新内容,目前已成为医院药学不可忽视的问题。(2)建立PC体系,通过开展药师下临床进行用药咨询,开展ADR监测,治疗药物浓度监测及个体化用药等,充分发挥药师在药物治疗中的主导作用,保障合理用药,降低医疗成本,使患者获得最佳疗效。(3)鉴于我国现有医药市场在经营体制和一线人员素质上难以满足患者的需要,建议先在医院内部由药剂科开设OTC药房,以满足公众日益增长的自我保健需要。
In order to adapt to the transition from the traditional supply-managed work model to the comprehensive technical service model in the pharmacy department of the hospital, this article has carried out several aspects such as clinical pharmacy, participation in clinical rational drug use, pharmacy protection (PC), opening of over-the-counter (OTC) pharmacy, etc. The preliminary discussion aims to prompt the pharmacy department of the hospital to keep pace with the development of the times, adapt to changes in work patterns, and integrate with the international pharmaceutical system as soon as possible. (1) Clinical pharmacy is the core of hospital pharmacy. The purpose of developing clinical pharmacy is to ensure rational drug use and reduce the occurrence of drug-induced diseases. Nosocomial infection is a new content of clinical pharmacy and has become a problem that cannot be ignored in hospital pharmacy. (2) Establish a PC system and carry out drug consultations under the pharmacists to carry out ADR monitoring, monitoring of drug concentration, and individualized medications. Give full play to the leading role of pharmacists in drug treatment, ensure rational drug use, and reduce medical costs. Patients get the best results. (3) Given that the existing pharmaceutical market in China is difficult to meet the needs of patients in the operating system and the quality of front-line personnel, it is recommended that an OTC pharmacy be opened in the hospital by the Department of Pharmacy in order to meet the growing self-care needs of the public.