临床药师面向病人服务的探讨

目的 对临床药师直接面向病人提供药学服务问题进行探索。方法 依据国内外临床药学工作进展,结合作者长期从事临床药学实践,对国内临床药师而向病人服务工作的现状与展望进行分析讨论。结果 历经20余年国内临床药学工作的成绩应肯定,但进展缓慢,发展不平衡,工作侧重点与国外差别很大,国内临床药学偏重于药学研究和实验室监测以及一般药品不良反应监测与合理用药咨询。药师深入临床,直接面对病人参与用药决策工作很少。结论 重视和加强临床药师队伍建设,临床药师必须直接面向病人提供药学技术服务。

A discussion on the service of clinical pharmacy for the patients

Aim: to question for that the clinical pharmacists serve the patients directly in the field of pharmacy. Methods: to analyze the status quo and prospect that the clinical pharmacists serve the patients in China, combining with experiences of the authors who engaged in clinical pharmacy, and compared with the development of pharmacy internationally and domestically. Result: clinical pharmacy is of 20 years' history, and has greatly developed in China. The development, however, is slow and uneven. The aspects being emphasized in China are very different from other countries: in our country, clinical pharmacy lays particular stress on the studies of pharmacy , monitoring drugs in lab, and their unwanted effects, consultation of rational medication, while the pharmacists rarely go deep into the ward to participate the decision - making of medication for the patients. Conclusion: The administrators must pay attention to, and stress the construction of the team of clinical pharmacist, and the clinical pharmacists should provide service to the patients directly, in pharmacy.