“互联网+医联体”一体化药学服务体系的构建及实践
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篇名: “互联网+医联体”一体化药学服务体系的构建及实践
TITLE:
摘要: 目的:实现医联体内药学服务同质化,提升区域内药学服务能力。方法:建立医联体,构建一体化药学服务体系,对该体系的关键、切入点、成效进行介绍。结果:以重庆三峡中心医院为中心,构建了“1+4+30”(1个中心、4个医共体和30个医联体)的一体化药学服务体系。该体系包括供管体系一体化(供应目录衔接、药品考核一体化)、药学服务标准化(建立医联体内药学服务标准或规范、建立和实施统一的药房服务标准、建立药物治疗管理门诊药学服务标准)、人才培养一体化和体系内信息共享四个关键,“互联网+医联体”慢病患者药物治疗全程管理(包括线下和线上的构架、院内和院外的服务流程、建立慢病患者药物全程管理平台)一个切入点,取得了患者受益明显、基层的药学服务能力提升、牵头单位的药学服务能力提升、科研数据得到积累等四大成效。结论:“1+4+30”服务体系实现了体系内管理和服务水平同质化及对慢病患者药物治疗的全程管理,建设了有利于患者、有利于基层、有利于牵头单位的药学服务新模式。
ABSTRACT: OBJECTIVE: To achieve the homogenization of pharmaceutical care in medical consortium and improve the capacity of pharmaceutical care in the region. METHODS: Medical consortium should be established, and then integrated pharmaceutical care system should be constructed; key points, entry points and effects of the system were introduced. RESULTS: Taking Chongqing Three Gorges Central Hospital as the center, “1+4+30” integrated pharmaceutical care system (which means “1 center, 4 medical communities and 30 medical consortium”) has been established. The system included four key points, such as the integration of supply and management system (the connection of supply catalogue, the integration of drug evaluation), the standardization of pharmaceutical care (the establishment of pharmaceutical care standards or norms in medical consortium, the establishment and implementation of unified pharmacy service standards, the establishment of outpatient pharmaceutical care standards in drug treatment management), the integration of personnel training and the sharing of information in the system; one breakthrough point which was “Internet+medical consortium” chronic disease drug treatment whole process management (including offline and online framework, hospital and out of hospital service process, the establishment of chronic disease drug management platform). The establishment of this system could bring four effects, such as obvious benefits to patients, improvement of the pharmaceutical care ability in basic medical institutions, improvement of pharmaceutical care ability of leading units, accumulation of scientific research data. CONCLUSIONS: “1+4+30” integrated pharmaceutical care system realizes the homogeneity of management and service level within the system, realizes the whole process management of drug treatment for patients with chronic diseases, and constructs a new pharmaceutical care mode that is beneficial to patients, grass-roots units and leading units.
期刊: 2019年第30卷第23期
作者: 万素馨,方伟,孙秋艳
AUTHORS: WAN Suxin,FANG Wei,SUN Qiuyan
关键字: 互联网;医联体;一体化;药学服务体系;构建;实践
KEYWORDS: Internet; Medical consortium; Integration; Pharmaceutical care system; Construction; Practice
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