医院药房摆药管理浅议

摆药是加强医院药品管理的一个重要环节。药房摆药必须适应药品的质量管理要求,逐步改变原有模式,实施分区净化管理,加强质量控制,提高药房摆药室人员的整体素质,从摆药的各个环节上把好药品质量关,让患者用上放心药。     

江苏全面推行医疗机构药品使用规范化管理

《江苏省医疗机构药品使用质量管理规范》近日出台，对各类医疗机构建立药品采购、储存、调配全过程质量管理体系以及药房（柜）、药库设立等均作出了明确规定，特别规定“将医疗机构纳入药品安全远程监管”，“达不到规定条件的医疗机构不得设立药房”。据悉，医疗机构是最主要的药品消费终端，     

医药分业应注重加强医院药学管理工作

国家卫生部部长张文康在全国卫生厅局长会议上指出,全国将基本建立起城镇职工医疗保险制度。届时,作为配套改革的医药分业已成定局。经过近年电台、报纸和学术杂志等舆论分析和讨论,现已明确了医药分业不是医院不要药房,也不是将医院药房从医院中剥离出去,而是单独核算医院药品收入,并按新的《医院财会制度》由地方卫生行政主管部门统一管理,最终按照医疗机构服务质量和效益指标有比例地合理返还。现结合卫生管理实际工作,就医药分业管理过程中如何加强医院药学工作探讨如下。     

青海食药局开展医疗机构用药专项监督检查

为进一步规范全省各级医疗机构使用药品秩序，加强医疗机构规范化药房建设，强化药品使用质量管理，切实保障广大人民群众用药安全有效。青海省食品药品监督管理局省局自2008年8月份以来，在全省范围内开展了医疗机构用药专项监督检查活动。此次检查对全省各级医疗机构，     

浅析药房管理及注意事项

药房管理规范化建设是医院等医疗机构急需开展的一项重要工作,它可以促进药房运转的顺利进行,为医院本身和大众提供更好地医疗服务.在医院的管理领导层面更应该充分认识到规范化管理的迫切性,加强制度建立,积极推进各项措施的实施,保质保量的把药房规范化管理与建设落到实处,灵活运用现代科技手段进行先进设备的引进使用,提高药房运行管理效率.在不断完善药品质量管理规范和制度的基础上,确保顺利的进行药房规范化建设运营.本文结合医院药房的一些基本常识和制度进行简要分析,探讨其管理内容及注意事项.     

医院门诊药房与零售药店药品品种及价格的比较

目的了解医院门诊药房与零售药店药品品种与价格,知晓其差异,提出相关政策建议.方法对4个省的7家药店和8家医院门诊药房的药品品种和价格进行调查和比较分析.结果医院门诊药房和零售药店经营药品的种类差异较大;患者持医院处方到零售药店有60%的可能购不到所开药品;医院门诊药房与零售药店药品的质量、价格管理方式不同;医院门诊药房和零售药店药品同类品种的零售价格水平不同;单独定价药品价格虚高较为严重;医院药剂部门在拥有高中级药学人才方面占有绝对优势,其药事服务能力零售药店难以企及.结论医院门诊药房和零售药店具有较大差异性.目前情况下,出台剥离医院门诊药房,或者鼓励门诊病人到零售药店进行处方调剂的政策性规定,条件尚不成熟.医疗机构要进一步规范药品采购行为;要规范医疗机构医生的处方行为.     

关于医院药房托管的经济学分析

对医院药房托管的一些相关因素进行了经济学分析，如药品经济学特性、药品经营的委托代理、医药分开、药房托管的效益和风险控制，以及药品经营企业的责任等。意在说明药房托管是一种新的药房管理模式，对缓解医疗机构矛盾和控制药品费用不合理增长具有较好的制度示范作用和可贵的现实意义。     

基层医疗机构实行药房托管后药学人员的安置与配备

《全国药品流通行业发展规划纲要（2011—2015）》关于“鼓励连锁药店积极承接医疗机构药房服务和其他专业服务”的规定,将药房托管推向了关注的焦点。目前,河南某市积极探索基层医疗机构药房托管模式,希望以点带面,逐步实现医药分开。但从实施情况看,在维护医疗机构原药学人员的合法权益及药品经营企业引进和配备新的药学工作人员上存在一些缺陷。     

预防中药不良反应的药房管理方法

药物治疗是中医临床当中的重要治疗方法之一，加强对药房的监督与管理是预防和降低中药不良反应事件发生率的有效手段。文章将从患者出现中药不良反应的主要原因着手，分析新时期各级医疗机构对药房管理的现状，并提出预防中药不良反应发生的相关药房管理措施，拟为我国中药药剂管理行业的有序发展提供可靠的理论性依据。     

医院药房规范化管理工作的探讨

目的 探讨医院药房规范化管理工作的措施.方法 通过健全药房管理制度、加强药品管理程序、建立服务意识和理念,采取对药房工作人员进行业务培训,提高药房服务层次,提高工作素质、提高窗口服务素质等措施.结果 医院药房规范化管理要求,有效地提高药剂人员的服务质量.结论 药房规范化建设,完善药房各种制度是提高药房工作人员素质的关键     

Pharmacists' Concerns and Suggestions Related to the Sale of Tobacco and Alcohol in Pharmacies

A random sample of Pharmacists in Indiana was selected and surveyed regarding their thoughts and comments on the sale of tobacco and alcoholic products by pharmacies. A total of 212 pharmacists provided written responses to an open-ended question. The replies were then synthesized into major themes. The majority of comments categorized revealed strong opposition to pharmacies selling tobacco and alcohol products. The most frequently occurring message regarding the sale of these products by pharmacies was that it goes against the pharmacist's role as a professional health care provider and may harm their image. For some pharmacists, this issue posed a moral dilemma between caring for patient safety and the economic incentives provided by the sale of tobacco and alcohol. Based on these findings, a follow-up phone survey was conducted to solicit suggestions from pharmacists on how to advocate against the sale of tobacco and alcohol by pharmacies. The majority of pharmacists strongly recommended that they need to do more among themselves and within their store environment, rather than have regulations imposed on pharmacies when it comes to limiting the sale of these products.     

零售药店处方药销售管理存在问题初探

该文以零售药店处方药与非处方药分类管理制度落实情况作为研究分析对象,根据媒体报道、药品监管部门监管信息分析目前我国零售药店处方药和非处方药管理现状中存在的问题和相应解决措施。结果显示我国零售药店在处方药与非处方药分类管理制度落实方面存在很多问题,处方药未凭处方销售,执业药师不在岗(挂证行为)在零售药店中普遍存在,零售药店伪造处方、未及时登记及未按规定保留处方等情形累见不鲜。就此提出应加大安全用药宣传力度,不断提高经营者和使用者的思想认识,提升执业药师的质与量,进一步深化医疗卫生体制改革,实行医药分开,建立互联网远程审方平台,解决零售药店处方来源困难,实施药品零售企业分级管理,强化监管队伍建设,落实监管人员责任等措施。     

Alternatives to pharmaceutical distribution and reimbursement

In Spain pharmaceutical distribution is carried out mainly thorugh the 20,000 independent pharmacies located throughout the country. This situation contrasts with that in other countries where other health care providers play a major role in drug dispensation or where pharmacies form part of industrial conglomerates or commercial chains.We describe the pharmaceutical distribution chain in Spain wholesale and through the pharmacies and place particular emphasis on five aspects of relevance when considering alternatives: ownership of the pharmacy and norms of professional service, criteria for setting up a pharmacy, monopoly on dispensing, automatic ageement with the Spanish national health system and reimbursement system. Several alternatives found in comparable countries are described: mail order and on-line distribution, sale of over-the counter pharmaceutical products in establishments other than pharmacies, the estabilishment of pharmaceutical chains, dispensing by providers, the repercussions of electronic prescribing and the possibilities of the still-emerging Pharmacuetical Care. The characteristics of pharmacy reimbursement systems are also reviewed.We recommend modification of limitations on ownership of pharmacies, the establishment of optional agreements between pharmacies and the Spanish national health system and the authorization of alternative or complementary channels of distribution for some products. We propose a mixed model of reimbursement that would include: a) a ficed price for dispensing; b) almost total return of the cost of the product; c) reimbursement for services explicity defined by the financer, and d) the possibility of a selective fixed payment for certain situations depending on the agreed services or a guaranteed minimum income.     

The globalization of accreditation in the professions

The direct relationship between educational quality and a successful economy, the proliferation of regional and global trade agreements which encourage professional mobility, and the growing international recognition of academic degrees are contributing factors to the globalization of quality assurance in higher education, including accreditation. On every continent, attention is being paid to developing professional educational standards within an international context, assuring that ?world class? professionals are produced for international as well as national practice.     

基于门诊自动化药房模式提高医院药师专业技能的实践探索

目的探讨门诊自动化药房模式下提高药师专业技能的措施。方法结合我院门诊自动化药房模式下调剂工作的改变,采取与传统调剂模式对比的方法进行探讨。结果自动化药房改变了传统的发药模式,减轻了药师的劳动强度,提高了工作效率,为门诊药房工作和管理带来了积极的影响,但自动化药房系统也会出现以前未出现的一些新问题。通过加强药师处方审核的学习以及药物知识的学习,建立药师职业技能的量化考核细则,药师工作积极性提高,工作效率得到提升。结论自动化药房模式下,可通过加强药师职业技能培训和建立与之相匹配的奖惩制度,来提高药师专业技能。