Analysis of the current situation of the pharmacy service model of grass-roots Chinese hospitals
At this stage, China's Chinese hospital pharmacy service model is very single, then, the current situation of the pharmacy service model of grass-roots Chinese hospitals is?
Hospital pharmacy is an important part of the work of the hospital, the relationship between the hospital's overall quality of medical services and level of competition in the market economy is becoming increasingly fierce at the moment, directly related to the survival and development of the hospital. Chinese medicine is the treasure of our country, Chinese medicine hospital has become an irreplaceable important part of the health care system, its function is more and more complex, improve the level of hospital pharmacy service is to adapt to the social development, the market needs of the inevitable trend. The paper takes our hospital as an example, refers to related literature, discusses the development history of Chinese hospital pharmacy service mode, trends and problems, and summarizes the pharmacy work experience.
1 The current situation of the pharmacy service model in our hospital
The pharmacy department of our hospital has 28 staff members, of which 9 are male and 19 are female, with titles: 8 pharmacists, 6 pharmacists-in-charge, and 1 deputy chief pharmacist. It is equipped with a complete drug dispensing and circulation system, and has an outpatient Chinese and Western pharmacy, an inpatient Chinese and Western pharmacy, a decoction room, and a Chinese and Western medicine library.
2 China's traditional Chinese hospital pharmacy service model development history, status and trends
China's traditional Chinese hospital pharmacy service model development is slower, especially before the reform and opening up, has been stagnant, and even regression, which is related to the domestic environment at that time, after the reform and opening up, the national economy is developing rapidly, the overall medical service level of the Chinese hospital is rapidly improving, in the market, and the market has become more and more important. After the reform and opening up, the rapid development of the national economy, the overall medical care in Chinese hospitals, the level of service has increased rapidly, in the market economic system and the national demand for the promotion of the Chinese hospital pharmacy service model has been rapid development, but in general is still unsatisfactory, which has to do with the overall scale of Chinese hospitals at this stage.
In recent years, the proportion of injections, tablets and other dosage forms in Chinese medicine preparation has gradually increased, and the mode of picking up medicines at the window has changed significantly. The hospital actively improves the window service mode of outpatient pharmacy, improves work efficiency, reduces the chance of work errors, and shortens the waiting time of drug takers, which is also the main improvement area of the current Chinese medicine pharmacy service mode. At this stage, the main improvement direction of China's Chinese medicine hospital pharmacy service mode is to improve the efficiency of dispensing, preparation, from the general direction gradually to the western hospital service mode, gradually developed into a patient-centered, clinical rational use of drugs, medication guidance, pharmacy supervision, hospital pharmacy research and other modern pharmacy service mode.
3 At this stage, China's Chinese hospital service model development problems and facing the dilemma and reasons
3.1 Single service model, backward service concept
At this stage, China's Chinese hospital pharmacy services mainly include outpatient prescription services, inpatient medication services, the service model is very single, and many hospitals are not deep enough in clinical pharmacy work, pharmacy research work is not deep enough. The work of many hospitals is not deep enough, and pharmacy research exists in name only. Many grass-roots Chinese hospitals stagnant development of pharmacy services, hospitals lack sufficient ` attention to pharmacy services, that as long as a good job prescribing, disease treatment work can be, insisting that the pharmacist for the physician services, pharmacy for treatment services. The hospital pharmacy department, Chinese medicine services only include pharmacy services, decoction services, drug distribution services, Chinese medicine clinical services, research work at a lower level.
3.2 Low level of standardization and system, sloppy management
Chinese hospital pharmacy service mode is single, and lack of sufficient attention, its security system is even more impossible to talk about, many pharmacists are in the clinical front line, but failed to play the role of clinical pharmacy guidance, supervision, and in the window of the outpatient clinic to provide pharmacy consulting work quality of service, work attitude is poor, and in the pharmacy room to undertake only basic work, such as drug quality testing. In the pharmacy research room, they only undertake basic work such as drug quality inspection, and lack of motivation and innovative spirit in pharmacy research. Many Chinese hospitals adhere to the traditional management concepts, managers are mostly older physicians, scientific management awareness and ability is seriously inadequate, lack of pioneering spirit, and even hold a? Conservative? Tradition is the essence of Chinese medicine? The idea of sticking to the old ways, the upper line and the lower line, the entire Chinese hospital pharmacy service management level can be imagined.
3.3 Lack of sufficient motivation for reform
Chinese medicine is a medicine that relies heavily on experience, so for a long time, Chinese medicine has given people the impression that only old Chinese doctors are good Chinese medicine practitioners. Only the old Chinese medicine is good Chinese medicine? This is certainly related to the focus on perceptual understanding, focus on dialectical treatment, but to a certain extent, it also reflects the characteristics of Chinese medicine, that is, the number of older physicians to a certain extent on behalf of the hospital's overall level of medical care. In addition, now or for quite some time in the future, Western medicine is still the mainstream of the health care services market, Chinese medicine gives people the impression that it is a comprehensive treatment, treatment of chronic diseases, treatment of difficult and miscellaneous illnesses, and these diseases are complex, involving a large number of factors, and non-high-level practitioners can not do. Therefore, high-level Chinese medicine practitioners have become an extremely scarce resource, which can directly affect the development of hospitals. China's Chinese medicine-related talent pool is expanding, but the overall number is still relatively small, Chinese medicine hospitals lack of sufficient talent support, the lack of development of endogenous power, the market competition is not fierce, the lack of development of external power. Hospitals do not get development, its functions are limited, the development of pharmacy services space is very narrow, the relevant pharmacy services are difficult to carry out. The hospital's pharmacy department now has only 28 staff members, the staff is small, and more involved in the circulation of drugs and dispensing work, can not play their own familiar with the advantages of pharmacology, prescription, analysis and other clinical work is still undertaken by the clinician, the pharmacist's motivation is poor, the lack of self-creative, self-improvement aspirations.
4 Countermeasures
To solve the problem of the development of Chinese hospital service model, break the dilemma, from the pharmacist team and the hospital concepts, the following on this are discussed separately.
4.1 Transformation of the concept of service
Although the Chinese hospital pharmacy is limited by the hospital's own development, its service model lacks sufficient space for development, but this is not the reason for stubbornness, the hospital should actively change the concept of service, to deepen the connotation of the service, to change ? Doctors see patients, pharmacists issue drugs? The understanding, adhere to the patient-centered, rational use of medication, to protect the safety of medication, improve efficiency, improve patient satisfaction as the main direction of improvement, from the overall enhancement of medical workers on the cognition of pharmacy services, will improve the pharmacy service model into the future focus of the hospital.
Older physicians should actively change their mindset, establish a relationship of mutual trust and collaboration with pharmacists, welcome pharmacists' participation in the clinical line, actively impart useful work experience, cultivate pharmacists' ability to analyze prescriptions, and provide more empirical explanations to enhance pharmacists' practical abilities. Pharmacists should also be open-minded to seek advice, learning, and strive to improve and enrich themselves, not afraid of making mistakes, step by step, from the initial participation in clinical prescribing, to prescription simulation analysis, discussion, and then participate in the clinical prescription supervision, guidance, and enhance the level of clinical Chinese medicine services in the hospital. At the same time, pharmacists should also enhance the awareness of pharmacy services, clear definition and connotation of modern pharmacy services, actively put forward opinions and suggestions to the hospital, focus on the details, enhance the level of pharmacy services, enrich the content of the service, such as increasing the outpatient pharmacy consulting services, discharge medication extended guidance services, make full use of the limited conditions, expand the scope of service areas.
4.2 Actively improve the comprehensive quality of the pharmacist team
The pharmacist is the main bearer of pharmacy services, without a high level of pharmacist team, the transformation of pharmacy service mode can not be discussed. Hospitals to enhance the comprehensive quality of the pharmacist team can be through the following channels: ① expand the pharmacist team, the introduction of outstanding talent, at this stage, Chinese hospitals, pharmacy services, a single model, the workload is small, the pharmacy team is small, insufficient reserves of talent, the lack of expanding the service function of human resources; ② the establishment of a scientific internal training mechanism, hospitals should be active in inviting high level of hospital pharmacists to the hospital lectures, guidance, and to encourage the participation of pharmacists to clinical medication advice, guidance, and the establishment of a scientific internal training mechanism. The hospital should actively invite high-level hospital pharmacists to give lectures and guidance, encourage pharmacists to participate in clinical medication counseling, guidance, and supervision, establish a scientific salary and reward and punishment mechanism, and encourage practice to improve the analytical and research ability of pharmacists.
5 Summary
China's Chinese medicine hospitals are in a difficult period of transition, the transformation of its pharmacy service model is faced with a number of dilemmas, which greatly restricts the promotion of clinical application of Chinese medicine, and is not conducive to the retention and development of Chinese medicine. But on the other hand, it should be seen that Chinese medicine has certain advantages in the prevention and treatment of chronic diseases, systemic diseases and malignant diseases. With the accelerated pace of population aging in the society, the people's demand for Chinese medicine services is still relatively strong, Chinese medicine still has a large space for development in the future, and community health care can become an important breakthrough in the development of Chinese medicine service model [4]. All Chinese medicine workers, should actively change the concept, strive to improve themselves, proactive participation in pharmacy services, play their own initiative, accumulation of little into much, Chinese hospital pharmacy services will have great progress.
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