摘要
目的:为优化家庭医生团队结构、提升我国基层医疗卫生机构合理用药水平提供参考。方法:结合相关文献及作者工作经验,回顾基层医疗卫生机构合理用药现状、家庭医生制度的发展现状,分析现有家庭医生团队开展合理用药服务存在的问题,并提出相关建议。结果与结论:基层医疗卫生机构存在如抗菌药物盲目选用或滥用、注射剂使用频率过高等现状。我国实行家庭医生模式的省市已经逐步形成如"1+1+1"签约服务模式、"基础包+个性包"签约服务模式等5种家庭医生签约服务模式。现有家庭医生团队开展合理用药服务时存在家庭医生团队中药学服务人员缺乏或业务能力不高、医护人员药学专业知识储备有限、药师参与度不足等问题。合理的家庭医生团队要注重对药学服务技能型药师的培养、要加强对医护人员药学专业知识培训,必要时还应借助医联体平台构建相应的"药联体"平台,以此充分提升我国基层医疗机构合理用药水平。
OBJECTIVE:To provide reference for optimizing the structure of family doctor team and improving rational drug use in primary medical institutions of China.METHODS:Combined with relevant literatures and author’s work experience,the situation of rational drug use in primary medical institution and the development of family doctors team were reviewed.The problems existing in the rational drug use service provided by family doctor team were analyzed to put forward relevant suggestions.RESULTS&CONCLUSIONS:There are some problems in primary medical institutions,such as blind selection or abuse of antibiotics,high frequency of injection use.Provinces and municipalities that implement the family doctor model in China have gradually formed five kinds of family doctor contract service modes,such as"1+1+1"contract service mode,"basic package+personality package"contract service mode.The existing family doctors team have problems in the development of rational drug use services,such as lack of pharmaceutical service personnel,low business ability,limited pharmacy knowledge of team members,and insufficient participation of pharmacists.A reasonable family doctor team should pay attention to the cultivation of pharmacy service pharmacists,strengthen pharmacy professional knowledge training of medical staff,and build a corresponding"pharmaceutical joint"platform by means of the medical association platform if necessary so as to promote rational drug use in primary medical institutions.
作者
田侃
黄素芹
喻小勇
TIAN Kan;HUANG Suqin;YU Xiaoyong(School of Health Economics and Management,Nanjing University of TCM,Nanjing 210023,China)
出处
《中国药房》
CAS
北大核心
2019年第21期2899-2902,共4页
China Pharmacy
基金
国家卫生和计划生育委员会委托课题（No.药政〔2018〕购6号）
关键词
家庭医生团队
基层医疗机构
合理用药
药学服务
Family doctor team
Primary medical institution
Rational drug use
Pharmaceutical care
作者简介
田侃,教授,硕士。研究方向:药事管理。电话:025-85811065。E-mail:tiankane@aliyun.com。
