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川渝紧密型区域医共体居家药学服务质量控制专家共识
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| 篇名： | 川渝紧密型区域医共体居家药学服务质量控制专家共识 |
| TITLE： | Expert consensus on quality control of home-based pharmaceutical services in the close-knit regional medical community of Sichuan and Chongqing |
| 摘要： | 目的 为进一步统一、规范川渝紧密型区域医疗卫生共同体（简称“医共体”）医疗机构居家药学服务质量，保障患者用药安全提供参考。方法在重庆市医学会、重庆市药事管理质量控制中心的指导下，重庆医科大学附属璧山医院和重庆医科大学附属永川医院牵头并联合川渝地区14家医疗机构共同参与，在参考现有法规、指南及专家共识的基础上，采用问卷调研川渝紧密型区域医共体居家药学服务实施情况，并采用德尔菲法进行专家咨询和层次分析法确定指标权重，形成川渝紧密型区域医共体居家药学服务质控体系。结果与结论本共识构建了包含服务资质评价、必要性评价、服务质量评价3个维度的川渝紧密型区域医共体居家药学服务质量控制体系，其中服务质量评价为质控体系的核心内容，下设16个二级指标，并依据指标重要性划分为9个核心指标和7个一般指标。同时，本共识提出分阶段推进的质量控制策略，在川渝紧密型区域医共体框架下，该策略以执行优先、执行效果为核心，灵活处理服务资质与必要性的硬性要求，为川渝紧密型区域医共体提供了一套统一、可操作的质量控制工具。 |
| ABSTRACT： | OBJECTIVE To provide reference for further unifying and standardizing the quality of home-based pharmaceutical services in close-knit regional medical community of Sichuan and Chongqing， and ensuring medication safety of patients. METHODS Under the guidance of the Chongqing Medical Association and the Chongqing Pharmaceutical Administration Quality Control Center， and led by the Bishan Hospital Affiliated to Chongqing Medical University and the Yongchuan Hospital Affiliated to Chongqing Medical University， 14 medical institutions in the Sichuan-Chongqing region jointly participated. Based on existing regulations， guidelines， and expert consensus， questionnaire survey was conducted to investigate the implementation status of home- based pharmaceutical services within the close-knit regional medical community of Sichuan and Chongqing. Subsequently， the Delphi method was employed for expert consultation and the analytic hierarchy process was used to determine indicator weights， ultimately establishing a quality control system for home-based pharmaceutical services in the close-knit regional medical community of Sichuan and Chongqing. RESULTS & CONCLUSIONS This consensus has established a quality control system for home-based pharmaceutical services within the close-knit regional medical community of Sichuan and Chongqing， encompassing three dimensions： service qualification evaluation， necessity evaluation， and service quality evaluation. Among them， service quality evaluation serves as the core component of the quality control system， incorporating 16 secondary indicators， which are further classified into 9 core indicators and 7 general indicators based on their significance. Meanwhile， this consensus proposes a phased quality control strategy. Under the framework of the close-knit regional medical community in Sichuan and Chongqing， this strategy takes execution priority and execution effectiveness as 69 its core. It allows for flexible handling of the rigid requirements concerning service qualifications and necessity， thereby providing a unified and operable quality control toolkit for the close-knit regional medical community in Sichuan and Chongqing. |
| 期刊： | 2025年第36卷第14期 |
| 作者： | 重庆市医学会；重庆市药事管理质量控制中心；《川渝紧密型区域医共体居家药学服务质量控制专家共识》编写组 |
| AUTHORS： | Chongqing Medical Association，Chongqing Pharmaceutical Administration Quality Control Center，the Compilation Group for the Expert Consensus on Quality Control of Home-based Pharmaceutical Services in the Close-knit Regional Medical Community of Sichuan |
| 关键字： | 医共体；居家药学服务；质量控制；专家共识 |
| KEYWORDS： | medical community； home-based pharmaceutical |
| 阅读数： | 6 次 |
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