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我国医疗机构药学会诊工作模式分析：一项范围综述
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| 篇名： | 我国医疗机构药学会诊工作模式分析：一项范围综述 |
| TITLE： | Analysis of the working model of pharmacy consultation in medical institutions in China：a scoping review |
| 摘要： | 目的 系统总结我国药学会诊的工作模式，为药学会诊的流程标准化、内容规范化与服务同质化提供参考。方法系统检索中英文文献数据库，纳入我国医疗机构发表的药学会诊工作模式文献，由2名研究者筛选与提取关键信息，最终进行定性总结与描述性分析。结果基于纳入的11篇文献，我国临床药师探索的药学会诊工作模式中，会诊内容主要涉及抗感染、肠外营养、癌性疼痛等。药学会诊的总体思路应参考已构建的流程图，具体的会诊问题可参考路径、思维导图或决策树等框架性指导开展工作，最后可根据会诊系统或专科会诊模板撰写会诊意见，采用新型的工作模式（如药师主动会诊）也可促进药学会诊数量和接受率的提升。结论我国医疗机构已初步探索出一系列药学会诊的工作模式，但尚未完善，缺乏统一的质控与评价体系，未来的研究与实践应重点予以关注。 |
| ABSTRACT： | OBJECTIVE To systematically summarize the working model of pharmacy consultation in medical institutions in China， and to provide reference for the normalization of process， standardization of content and homogenization of services of pharmacy consultation. METHODS A systematic search of Chinese and English literature databases was conducted to incorporate the literature on the working model of pharmacy consultation published by medical institutions in China. Two researchers screened and extracted the key information， and ultimately conducted qualitative summary and descriptive analysis. RESULTS Based on the included 11 articles， the pharmacy consultation working models were explored by clinical pharmacists in China. The contents of consultation mainly involved anti-infection， parenteral nutrition， cancer pain， etc. The general concept of pharmacy consultation should refer to the constructed flowchart， specific consultation problems could refer to the pathway， mind map， or decision tree and other framework guidance to carry out the work. Finally， consultation opinions could be written according to the consultation system or specialty consultation templates， and the adoption of a new working model （such as pharmacist active consultation） could also promote the number and acceptance rate of pharmacy consultation. CONCLUSIONS A series of working models of pharmacy consultation have been initially explored in medical institutions in China. However， it is not yet perfect and lacks a unified quality control and evaluation system for pharmacy consultation， which should be the focus of future research and practice. |
| 期刊： | 2024年第35卷第16期 |
| 作者： | 周鹏翔；刘晓霞；李晓菲；邢晓敏；谭思涛；赵荣生 |
| AUTHORS： | ZHOU Pengxiang，LIU Xiaoxia，LI Xiaofei，XING Xiaomin，TAN Sitao，ZHAO Rongsheng |
| 关键字： | 药学会诊；药学服务；临床药师；工作模式；医疗机构 |
| KEYWORDS： | pharmacy consultation； pharmaceutical care； clinical pharmacist； working model； medical institution |
| 阅读数： | 3 次 |
| 本月下载数： | 4 次 |
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