The so-called pharmaceutical health care refers to the cooperation between hospital pharmacists, clinicians and patients. They formulate patient medication plans and improve them through monitoring during the medication process to obtain accurate therapeutic effects. Pharmacists administer drugs to patients. treat!
The unified definition of pharmaceutical care (PC) is: the mission of pharmacists is to provide pharmaceutical care. Pharmaceutical care is the provision of direct, responsible drug-related care, with the purpose of providing responsible drug treatment and obtaining definite results that improve the patient's quality of life. Therefore, pharmaceutical health care is not a profession, but a work model. This model is characterized by the shift of pharmacists' business work from ensuring drug supply to clinical practice, and from drug-centered to patient-centered. With the development of forms, pharmaceutical health care will become a new working model of hospital pharmacy.
The subject of pharmaceutical health care is the pharmacist, and the object is the patient. The core of pharmaceutical health care is that pharmacists' work is directly oriented to patients, and pharmacists have an unshirkable social responsibility for patients' drug treatment. In the process of implementing pharmaceutical care, a new trust relationship is formed between pharmacists and patients. Pharmacists collaborate with patients and other medical and health professionals to design, implement and monitor treatment plans that will produce specific therapeutic results for patients. Fight for the interests of patients throughout the entire process of drug treatment and protect patients from drug-related harm. This includes three main functions: discovering potential and actual drug-related problems; solving actual medication problems; and preventing and treating potential problems that may occur after medication. The implementation of pharmaceutical care will increase the workload of pharmacists and increase their responsibilities. From a development perspective, the implementation of pharmaceutical health care reflects the objective requirements that social progress places on pharmacists and pharmaceutical services. It is the direction of hospital pharmacy reform and is related to the future of the pharmacist profession. The significance is as follows.
1 To meet the needs of improving the level of social health care
With the development of the economy and the improvement of people's living standards, the people's demand for health care continues to increase, prompting the hospital's work content and The scope and characteristics gradually changed, from simply treating patients in the past to becoming a social health care center while completing medical work. The social function of the hospital has expanded. Pharmacy work, which is an integral part of the hospital's medical work, should also comply with the requirements of development, realize the transformation of functions, and directly provide pharmaceutical health care services to patients. It must not only meet people's different levels of drug needs, but also through Improve the quality of drug treatment and improve people's health. Moreover, the level and quality of drug use is one of the signs of the improvement of social health care. People are no longer satisfied with the availability of drugs, but pursue high-quality drugs and pharmaceutical services, and propose rational drug use. requirements, which can only be achieved through pharmaceutical care.
2 The direction of reforming the work model of hospital pharmacy
For a long time, hospital pharmacy work has been in a supplementary position to medical treatment. In the past, the main task of the hospital was to ensure the supply of drugs, and through drug price differences and The income from preparations makes up for the shortfall in the hospital’s economic expenses. The professional knowledge and technology of hospital pharmacy business are downplayed, which skews the service direction of hospital pharmacy. One of the goals of the reform of the current medical system is to gradually change the business model of supporting medicine with medicine, promote the business philosophy of "patient interests first", and establish a "patient-centered" thinking. In the tide of reform, the existing hospital pharmacy work model has been impacted. In actual work, hospital pharmacy staff also deeply realize that the existing hospital pharmacy work model must be reformed in order to develop. The new hospital pharmacy work model must be developed with a "patient-centered" approach and firmly establish the concept that ensuring patient health is the social responsibility of pharmaceutical workers. In the process of transforming from the traditional pharmaceutical service model to the pharmaceutical care model, the responsibility of pharmacists to patients must be emphasized. Pharmacists are not only responsible for the quality of the drugs they prepare and distribute, but also for the consequences that the drugs may have on patients' health outcomes. Ethically speaking, pharmacists are also obliged to protect patients from the negative effects of drugs. Clearly the pharmacist's role would be incomplete without taking responsibility for the health outcomes of the patient's medication.
3 Realize the redesign of the pharmacist profession
The traditional pharmacist profession is designed "centered on drugs". Although traditional hospital pharmacists have divisions of labor such as dispensing, preparation, drug testing, drug procurement, and storage, they all focus on ensuring clinical medication use. This profession of pharmacist has obvious characteristics of a society with an underdeveloped commodity economy. During this period, medicines were scarce health care resources and were in short supply for a long time. The shortage of drugs forces pharmacists to do everything they can to meet clinical drug needs. Hospital preparations were also established and developed under this situation. From an objective environment, pharmacists are also required to focus on ensuring the supply of drugs. In this situation, pharmacists end up retreating behind closed medication dispensing windows, away from patients. With the development of social economy and science and technology, especially the rise of high medical technology and the improvement of socialization of drug supply, the situation of drug supply exceeding demand has basically changed. The coming highly developed pharmaceutical commodity economy can meet the needs of medical units for medicines at any time. Pharmacists do not have to travel around to purchase medicines, nor do they need to store large quantities of medicines for fear of shortages. Large-scale high-tech industrial drug production has the obvious advantages of low cost and high quality, and is gradually replacing hospital preparations, causing hospital preparations to shrink. Hospital drug inspection tasks will be responsible for monitoring all drugs used in hospitals. In developed countries, the hospital dispensing business has been automated, which not only improves the efficiency of dispensing work, but also replaces a large number of pharmacists' daily routine work. At that time, the demand for pharmacists in the traditional hospital pharmacy business was relatively reduced, and pharmacists faced an oversupply situation.
In short, with the development of society, the professional content of pharmacists remains unchanged and will inevitably be eliminated by society. To this end, pharmaceutical personnel must update their concepts and strengthen the "patient-centered" concept. Realize the shift from being responsible for ensuring drug quality and supply to being responsible for patient medication results. It is natural that pharmacists are responsible for ensuring the quality of the medicines they dispense and prepare. However, it may be difficult for pharmacists to accept the idea of ??being responsible for the patient's treatment results, especially since current drug treatment decisions are made by physicians. Of course, pharmacists have no obligation or need to take responsibility for the actions of others. In the implementation of pharmaceutical health care, pharmacists are authorized to participate in medication decisions. They are no longer simply making suggestions to doctors, but making real suggestions. In addition, pharmacists are also responsible for monitoring the medication administration process, observing the patient's medication response, making necessary adjustments, tracking the final results of medication use, and making necessary evaluations. Once the pharmacist is involved in the drug treatment process and has direct contact with the patient, he will naturally be responsible for the patient's health. The meaning and significance of pharmaceutical health care is still a new concept, and may still be unfamiliar to many pharmaceutical personnel. But this is the development direction of hospital pharmacy in the 2010s.