摘要
目的:为提高我国医院药学服务水平、推动我国医疗机构O2O药学服务模式的不断转型升级提供参考。方法:以“互联网”“网络”“O2O”“药学服务”“用药教育”“慢病管理”“用药咨询”“科普宣教”等为关键词检索中国知网、维普、万方等中文数据库,收集发表时间为2012年1月-2020年3月的相关文献,对我国O2O药学服务模式的发展历程、特点、服务内容、优势、不足进行分析汇总,并提出相关建议。结果与结论:我国医院O2O药学服务内容涵盖了处方审核与调剂、药品配送以及就诊后的用药咨询、用药教育、慢病管理、科普宣教、药学门诊等部分,实现了全过程的闭环管理。目前我国医院O2O药学服务已经逐步从1.0向2.0阶段迈进,人工智能技术也开始广泛融入药学服务的各个环节,辅助医院药师更好地践行“以患者为中心”的服务理念,不仅更加高效精准地提升了药师的药学服务质量和价值,还促进了优质药学资源下沉并服务基层。我国O2O药学服务具有优化药学资源配置、扩大药学服务范围、改善医患关系、分流不同需求患者、促进分级诊疗的落实等优势,但还存在未能有效覆盖农村患者、患者隐私泄露风险、缺乏专门的质量管理标准等问题,阻碍了医院O2O药学服务的进一步发展与完善。建议相关机构进一步完善平台药学服务功能、扩大消费人群,尽快出台相关法规,根据基层地区患者需求针对性地开展药师继续教育培训,并建立健全相关法律法规,完善O2O药学服务质量管理标准,以进一步促进我国医院O2O药学服务模式的发展。
OBJECTIVE:To provide reference for improving the level of pharmaceutical care in hospitals and promoting the continuous transformation and upgrading of O2O pharmaceutical care mode in medical institutions in China.METHODS:Using“Internet”“Network”“O2O”“Pharmaceutical care”“Medication education”“Chronic disease management”“Medication consultation”“Science popularization and education”as keywords,related literatures were collected from CNKI,VIP,Wanfang and other Chinese databases during Jan.2012-Mar.2020.The development process,characteristics,service content,advantages and disadvantages of O2O pharmaceutical care mode in China were analyzed and summarized,and relevant suggestions were put forward.RESULTS&CONCLUSIONS:O2O pharmaceutical care in Chinese hospitals covers prescription review and dispensing,drug distribution,medication consultation after visiting,medication education,chronic disease management,science popularization and education,pharmacy clinic,etc.,realizing the whole process of closed-loop management.At present,O2O pharmaceutical care in Chinese hospital had gradually moved from stage 1.0 to stage 2.0.Artificial intelligence technology has also been widely integrated into all aspects of pharmaceutical care,assisting hospital pharmacists to better practice the“patient-centered”service concept,not only improving the quality and value of pharmacists’pharmaceutical care more efficiently and accurately,but also promoting the sinking of high-quality pharmaceutical resources and serving the grassroots.O2O pharmaceutical care shows the advantage of optimizing the allocation of pharmaceutical care resources,expanding the scope of pharmaceutical care,improving the relationship between doctors and patients,diverting patients with different needs,and promote hierarchical diagnosis and treatment.However,there are still some problems,such as the failure to effectively cover rural patients,the risk of patient privacy leakage,and the lack of special quality management standards,which hinder the further development and improvement of scale advantage of O2O pharmaceutical care.It is suggested to further improve the pharmaceutical care function of the platform,expand the consumer population,promulgate relevant laws and regulations as soon as possible,carry out continuing education and training for pharmacists according to the needs of patients in grassroots areas,establish and improve relevant laws and regulations,and improve O2O pharmaceutical care quality management standards,so as to promote the development of O2O pharmaceutical care mode in the hospital in China.
作者
李思聪
聂小燕
韩晟
王瑞麟
史录文
LI Sicong;NIE Xiaoyan;HAN Sheng;WANG Ruilin;SHI Luwen(School of Pharmacy,Peking University,Beijing 100191,China;International Research Center of Pharmaceutical Management,Peking University,Beijing 100191,China)
出处
《中国药房》
CAS
北大核心
2021年第4期496-501,共6页
China Pharmacy
基金
国家卫生健康委药政司政府购买服务项目。
关键词
互联网+
医院药学服务
O2O
药事管理
Internet plus
Hospital pharmaceutical care
O2O
Pharmaceutical administration
