“互联网+医疗”背景下中医院门诊智慧药房建设探讨

阐述门诊智慧药房的经营主体、功能和作用,提出基于互联网和物联网平台的智慧药房就诊流程。建议政府出台相关支持政策,中医院层面加大资金投入,加强全链条管理及保障制度。     

The impact of CyberHealthcare on the physician-patient relationship

It is estimated that 70 million Americans have used the Internet to acquire health-related information. Multiple factors provide the driving force behind this demand for online health information. Information technology is beginning to change the exclusive focus of medicine from curing disease to prevention of disease and enhancing health status. A critical feature of this change is the development of information and services that assist consumers to assume more responsibility for their own health and to actively participate in health care decisions. At the same time, physicians remain skeptical about the advantages of using the Internet for patient education. Some of the issues that this paper addresses include the following: What are the major factors that are leading to the increased use of the Internet by consumers to obtain health-related information? How do physicians view the use of the Internet by patients to obtain health-related information and services? How is the use of the Internet by consumers affecting physician-patient communications? What are the implications of the Internet for the future of physician-patient relationships?     

The power of collaboration: using internet-based tools to facilitate networking and benchmarking within a consortium of academic health centers

The University Health System Consortium (UHC) represents a strategic alliance of 169 academic health centers and associated institutions engaged in knowledge sharing and idea-generation. The use of the Internet as a tool in the delivery of UHC's products and services has increased dramatically over the past year and will continue to increase during the foreseeable future. This paper examines the current state of UHC-member institution driven tools and services that utilize the Web as a fundamental component in their delivery. The evolution of knowledge management at UHC, its management information and reporting tools, and expansion of e-commerce provide real world examples of Internet use in health care delivery and management. Health care workers are using these Web-based tools to help manage rising costs and optimize patient outcomes. Policy, technical, and organizational issues must be resolved to facilitate rapid adoption of Internet applications.     

关于我国网上药店发展的几点思考

目的分析网上药店利弊,提出发展网上药店的建议。方法通过查阅文献和登录网上药店网站进行调查,了解网上药店状况。结果网上药店有成本低、潜在消费者数量大、购买方便等优势,但存在销售处方药、过度促销、网站建设和配送系统不完善等问题。结论网上药店是药品零售企业的一种发展趋势,目前还存在一些亟待解决的问题,政府和企业应采取有效措施促进其健康快速发展。     

医药连锁店顾客满意度实证研究

营销研究多次表明满意的顾客会忠诚于企业,他们不仅会重复购买,而且还会对企业和企业的产品作口碑宣传。文章通过对大连市区各医药连锁店顾客满意度的实证研究,探查影响医药连锁店顾客满意度的主要因素,并确定各因素的重要性排序,在此基础上提出提升顾客满意度的管理策略。     

医药行业域名争议与仲裁

互联网的发展使得域名的重要性和有限性日益彰显,从而不可避免的使域名成为企业抢注和争夺的对象。本文介绍了域名争议的仲裁机构以及医药行业在域名争议时,如何采用仲裁的办法来解决争端,以保护企业合法的权益。     

蒙药材质量标准化研究的现状与意义

随着我国加入WTO,蒙医药学在走向世界的过程中面临着一些新的问题和挑战,而大部分蒙药材没有质量标准成为了制约蒙医药学发展的众多障碍之一.蒙药材质量标准化对于保证蒙药产品的安全稳定和质量控制等都具有重要意义.本文着重探讨蒙药材质量标准化研究的现状和意义.     

Maximising the uptake of evidence into clinical practice: an information economics approach

Evidence such as systematic reviews or clinical practice guidelines are information products, and clinicians are consumers of those products; their current proliferation but low uptake by consumers indicates an information oversupply. The costs and benefits of accessing and applying information are at least as important as are the costs and benefits of the treatments the information describes. In the same way that a citation index is a measure of the impact of a scientific paper, an evidence uptake index could measure effectiveness of evidence products in a clinical population. The uptake of evidence-based medicine may be hampered by the perceived high cost of changing to it. At present, most costs are borne by individual clinicians, but individual benefits for clinicians are downplayed in favour of population benefits. Specific strategies to increase evidence uptake into practice include decreasing the "cost of ownership"; increasing the direct or perceived value of evidence resources in routine practice; and customising evidence to suit different users, tasks and clinical contexts.     

Assessing Domains of Uncertainty in Critical Web-Based Healthcare Communities

Search engines and Web-based directories play a central role in facilitating access to online health information. In this environment consumers often find and act upon health information of variable quality, with little input from health professionals. As an added concern, when consumers access health information on the Web via a search engine they often fail to discuss the information with a healthcare provider, especially in areas of perceived medical uncertainty. For many health consumers, the Internet may be the primary (or even sole) source of health information, especially where consumers lack access to, or trust in, trained providers. To date the corresponding role of search engine technology use and efficacy has received relatively little attention, however. This study serves as an exploratory technology assessment that explains the application of keyword effectiveness indexing (KEI) analysis in estimating the ability of commercial search engines to return relevant results for healthcare consumers. Findings suggest that KEI can serve as a useful health search profiling tool, though its applicability may vary across domains. This study was provided support from the Center for Technology Assessment, State College, PA.     

Status quo and future prospects of the total hospital information system of a Japanese medical college

Six years have passed since the total hospital information system of Miyazaki Medical College, nicknamed PHOENIX, began its functions for the first time. It started with order entry systems, and has accomplished various systems, leaving one entry system unfinished; the injection order entry system which will be completed in the near future. It was revealed that the waiting period was most reduced at the hospital pharmacy. The waiting period for the visitors was also reduced. Usefulness of the PHOENIX system was greatly advanced by the function of a unique system of personal computer LAN, nicknamed PALM. This personal computer environments consisted of 200 or more Apple Macintosh computers. In this PALM environment, file servers, CD-ROM MEDLINE, clinical information databases, electronic mails (available in LAN and Internet) and sharing of printers are on service 24 hr a day.     

论女性中药保健品购买动机及营销对策

据第五次人口普查统计,我国女性消费者占全国人口的48.7%,对消费活动影响较大的中青年妇女,即年龄在20~55岁的女性约占人口总数的21%。女性消费者群体数量庞大,是大多数购买行为的主体。文章试图通过对我国中药保健品市场女性消费者的购买动机进行分析,并提出适合女性中药健品市场发展的营销策略。     

加州大学旧金山分校临床药学教育课程设置及其启示

美国是临床药学的发源地和高等临床药学教育的创始者,其临床药学教育已经成为许多国家高等临床药学教育的范本.加州大学旧金山分校的临床药学教育,在全美药学院校中排名第一.本文在解读加州大学旧金山分校的临床药学教育课程设置的基础上,分析了其课程特点及其对我国高等临床药学教育的启示.

Abstract：

USA is known worldwide as leaders and innovators in higher clinical pharmacy education and research. The doctor of pharmacy (PharmD) program has been served as the model for others countries. The top-ranked PharmD program is offered in the United States by the School of Pharmacy at the University of California, San Francisco (UCSF). In this paper, the curriculum setting of PharmD in UCSF has been analyzed. On the basis of analysis, its revelations to us are discussed.     

加州大学旧金山分校临床药学教育课程设置及其启示

美国是临床药学的发源地和高等临床药学教育的创始者,其临床药学教育已经成为许多国家高等临床药学教育的范本.加州大学旧金山分校的临床药学教育,在全美药学院校中排名第一.本文在解读加州大学旧金山分校的临床药学教育课程设置的基础上,分析了其课程特点及其对我国高等临床药学教育的启示.     

我校临床药学方向药剂学实验教学改革实践

临床药学专业的药剂学实验教学非常重要,它是培养学生药剂学实践能力、提高综合素质的重要手段,教学手段应与大药学专业有所区别.本文阐述了我校从改革实验教学体系、改进教学手段、改变考核方式等方面着手,进行临床药学专业药剂学实验教学模式改革的实践.希望为探索更有效的培养高素质临床药学人才的教学方法提供可借鉴的经验.     

药品运输包装的性能测试浅析

运输包装是以运输储存为主要目的的产品包装,其性能优劣将直接影响货物流通期间的产品质量。药品开发过程中,国内企业往往较为重视内包装的选择与研究,而容易忽视药品流通过程中潜在的运输风险,忽略对运输包装实际性能的有效检测及评价。本文论述了药品运输包装性能测试的必要性,分析对比了国内外药品申报注册的相关现状,并通过介绍药品运输包装的性能测试中的可参考标准,尤其是美国材料与试验协会《运输容器系统性能检测标准规范》(ASTM D4169),以期为药品运输包装的性能测试及评价提供相应思路及参考。     

珠海、澳门和纽约社区药房医学服务的对比研究

目的研究中国珠海、中国澳门、美国纽约三地的药房医学服务现状及存在的问题,比较三地药房医学服务的水平,并提出相应建议。方法在中国珠海、中国澳门、美国纽约三地通过半结构化问卷访谈了30名药师和70名消费者,并对访谈结果进行对比分析。结果通过对三地的访谈分析发现,三个地区药房医学服务的水平都不高并且服务种类比较单一,地区差异不大,但消费者和药师之间存在认知差异。结论三地药房可以通过提供一般性的医疗检查服务、传递医学保健知识和开设医疗门诊等服务提高药房医学服务的水平,增强药房的综合竞争力。     

在药学专业化学实验课中强化“绿色化学”理念

从建立绿色化学的思维方式、建设绿色化学实验教材、建设绿色化学实验室三方面论述了有必要把"绿色化学"理念引入我国高等教育药学专业化学实验课教学改革中,使学生了解化学与环境的关系,最终达到化学产品既能为人类服务又不污染环境的目的。     

某校药剂学教学改革初探

本文对新乡医学院药学院药剂学实验教学改革进行了初步探讨,对现存的问题提出了一系列改革措施,总结了该校药剂学教学改革的实践过程和取得的教学成果.实践证明,该校药剂学教学改革取得了令人满意的成绩.     

A Simulation Study to Improve Performance in the Preparation and Delivery of Antineoplastic Medications at a Community Hospital

In this paper, we introduce a simulation study to improve the antineoplastic medication preparation and delivery performance at a pharmacy department in a large community hospital. The goal of this work is to help pharmacy reduce patients' average waiting time when receiving chemotherapy. This will be achieved by simulating and analyzing the preparation and delivery procedures to identify process bottlenecks, carry out what-if analysis, predict the impact of improvement effort, and provide recommendations to hospital leadership. Using the simulation model, we discover that by introducing early preparation for the returning patients and dedicating an infusion staff member for medication delivery, patients' waiting time for antineoplastic medications can be reduced substantially. Such improvements do not require additional floor space or significant investment. The recommendation has been accepted by hospital management and implemented in the pharmacy department. The preliminary results have verified the simulation output with the desired improvement predicted by the model.