Different from the excitement of Nurses' Day and Physician's Day, the World Pharmacist's Day sponsored by the International Pharmaceutical Federation is a festival not included in Baidu Encyclopedia.
Behind the neglect of World Pharmacist Day in China, it also reflects the embarrassing situation of pharmaceutical workers in 280,000 hospitals in China.
Prescription review, quality control inspection and medical calendar documents, pharmacists working in hospitals are very busy most of the time, but at the end of the stage, they are often troubled by trivial work and have no "decent" results. Sometimes, they have to face the incomprehension of patients and the uncooperative of doctors.
On the occasion of the World Pharmacist Day this year, the health department has sorted out some famous "cheats" of the pharmaceutical department, igniting the hope of promotion and salary increase for pharmacists standing at the crossroads of transformation.
The angry brush exists.
If you want to get a promotion and raise your salary, you must first find a sense of existence, such as "close contact" with patients and the sense of existence of angry brush service.
At the end of the fourth floor of the outpatient building of the Affiliated Hospital of Nantong University is a clinic dedicated to pharmacy outpatient service. On August, 2065438, the pharmacy clinic of Tongda Affiliated Hospital was officially opened. According to the different needs of patients, pharmacy outpatient service can be divided into four types: chronic disease pharmacy outpatient service, digestive pharmacy outpatient service, anticoagulant pharmacy outpatient service and medication consultation outpatient service.
Different from the "free card" issued by the pharmacy outpatient department of 3A hospitals in many parts of the country, the pharmacy outpatient department of Tongda Affiliated Hospital needs patient registration to receive services from the beginning. Speaking of the reasons for this design, Chen Bohua, director of the Pharmacy Department of the Affiliated Hospital of Tongda University, summed it up with two "guarantees". On the one hand, it is the protection of patients. "We strive to provide better services for patients. If you don't register for treatment, you won't be able to enter the computer diagnosis and treatment system, and a lot of information about patients' medication can't be recorded. "On the other hand, it is also a guarantee for pharmacists. Doctors and patients verbally state their illness, and there is no need to register. This is an ordinary consultation. In a sense, pharmacists can be irresponsible. Once registered, a contractual relationship is formed between doctors and patients, which also restricts the behavior of pharmacists.
If the "registration system" is an exploration, then the establishment of the "outpatient medicine calendar" is an original creation on the way to the pharmacy department of the Affiliated Hospital.
Medical records are records of medical activities such as the occurrence, development, outcome, examination, diagnosis and treatment of diseases by medical staff. Drug calendar is a record of the occurrence, development, outcome, examination, diagnosis and treatment of drug use by the pharmacist in charge.
Chen Bohua believes that outpatient medicine calendar is tangible, which is also a good embodiment of rational drug use. "After a long time, the patient may forget his last specific consultation, but the pharmacist did not forget. By calling up the medical calendar from the computer, we can clearly see the process of the last drug treatment management, which invisibly improves the quality of service. "
Do a good job professionally
After the zero difference rate of drugs, the pharmacy departments of many hospitals have fallen to the bottom, while the pharmacy department of Sichuan Provincial People's Hospital has gone against the current.
According to statistics, after the zero difference rate of drugs, the workload of dispensing in the pharmacy department of this hospital has increased. In order to liberate more pharmacists from the non-core business of dispensing, informatization has become the main work focus of hospitals.
As early as 20 14, the pharmacy department of Sichuan Provincial People's Hospital built the first "smart pharmacy" in Sichuan Province, which improved the dispensing speed and accuracy of pharmacies and reduced the low-level labor intensity of pharmacists. In addition to HIS system, the pharmacy department of our hospital has also established three systems: rational drug use information support, rational drug use monitoring and clinical pharmacy management to realize real-time communication between clinicians and pharmacists and solve drug use problems in the first time.
How to redistribute the released human resources? What should I do if the hospital's dispensing volume decreases in the future?
Let professional people do professional things, and department managers turn their attention to the extension of pharmaceutical services of medical associations. Through the investigation of outpatient prescription data, the pharmacy department found that there are more than 18000 outpatients who prescribe drugs in hospitals every month.
In the imagination of the administrator of Sichuan Provincial People's Hospital, a pharmacist is in charge of hundreds of famous medical patients, and only needs to monitor the indicators of chronic diseases and deliver them directly to the door through pharmaceutical companies, so patients do not need to go to the hospital to prescribe drugs every month. At the same time, a follow-up center was set up to let pharmacists cut into the management of chronic diseases. Through regular telephone follow-up, pharmacists can evaluate patients' medication in real time, carry out family medication education, and extend the reach of pharmaceutical services to grassroots and individuals.
Find a "companion" to play with
Peking University People's Hospital, which has "ace departments" such as hematology, rheumatology, immunology and endocrinology, attracts a flood of difficult and severe patients all over the country every day, and these departments have also attracted the attention of Feng, the head of the hospital pharmacy department.
"We should do something different from others." Under the background of pharmacists' transformation, Feng has his own calculations if the department has a long-term foothold and makes its own characteristics. "We can rely on a platform like Peking University to accomplish some things that other hospitals can't do well, and use this as a starting point to make our own characteristics."
Pharmacy can form strategic cooperation with superior departments by "borrowing ships to go to sea", and carry out some scientific research at a deeper level and at a higher level to promote the development of pharmacists. This is the idea of "cross-border" mode.
Different from the practice of setting up pure scientific research posts specialized in SCI articles and fund support in the pharmacy department of some hospitals, the advantage of pharmacists is Feng's consistent view in clinic.
"Pure technical research is not the mainstream of hospitals, and the mainstream of hospital pharmacy work is more combined with clinical work." Feng said in an interview with the health department, "In the hematology department and intensive care unit of our hospital, the problem of doctors is definitely not how to use simple drugs, but a deeper problem. When they don't have the energy to do research, our pharmacists step in and form translational medicine. "
What is clinical is transformed into foundation, and what is basic is fed back to clinic, which is a virtuous circle and also the embodiment of pharmacist's value. For example, Feng said that it is common to eliminate the difference in drug efficacy caused by gene mutation through clinical transformation of pharmacy. On the one hand, it can achieve the purpose of precise treatment, and at the same time, it is helpful to promote the professional title and career development of pharmacists in the process of participating in the transformation.
In addition to these ideas, on September 22nd, official website, the National Health Insurance Bureau issued the "Reply to Recommendation No.4974 of the Third Session of the 13th National People's Congress", replying to the representative's suggestions on implementing paid pharmaceutical services, strengthening the construction of pharmacists and promoting rational drug use.
It is mentioned that the National Medical Insurance Bureau will actively cooperate with the Health and Health Commission, the Food and Drug Administration and other relevant departments to do a good job in pharmaceutical affairs management in medical institutions, make overall consideration of the cost and value of pharmaceutical services, and support the development of pharmaceutical services.
First, guide local governments to promote the reform of medical service prices as a whole, summarize and promote local practices that reflect the value of pharmaceutical services, and actively promote useful experiences.
The second is to cooperate with the reform of the salary system in public hospitals, support pharmacists to enjoy reasonable salary, ensure the reasonable income level of pharmacists, and enhance the professional attraction of pharmacists.
The third is to improve medical service items and price policies. For pharmaceutical service activities that have independent service output and patients can choose, study and improve the project transformation and adjust the price reasonably.
I believe that the day of pharmacists' promotion and salary increase is not far away.