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Template of Pharmaceutical Graduation Thesis (2)
Pharmacy graduation thesis 3

Present situation and prospect of pharmaceutical care in hospital pharmacy

Pharmacy is an important service window of the hospital, and it is also the department that has the most contact with patients. In the face of many diseases, the requirements of pharmaceutical care are getting higher and higher, and the difficulty is getting bigger and bigger. Pharmaceutical service aims to improve and improve the quality of life of patients by providing pharmacists with pharmaceutical and clinical knowledge about the safety, effectiveness and economy of drug treatment. All these tasks are done by pharmacists, and the quality of the work is directly related to the medical quality of the whole hospital. Therefore, how to do a good job in hospital pharmaceutical service and improve service quality is a problem that every pharmaceutical worker needs to think about and care about.

1 Current situation of pharmaceutical care in hospital pharmacies

1. 1 traditional working mode

At present, most hospital pharmacies are still only in the mode of ensuring drug supply and dispensing. Pharmacists are mainly responsible for the daily work of checking prescriptions, dispensing, checking and dispensing medicines. Pharmacists have few opportunities to communicate with patients, small dispensing window and short dispensing time, so it is difficult to provide comprehensive and meticulous pharmaceutical services for patients. Due to the lack of pharmaceutical knowledge and good pharmaceutical service for a long time, patients often take drugs by mistake and abuse drugs, and drug-induced diseases occur frequently, which seriously endanger people's health.

1.2 hospitals have low requirements for pharmacy pharmacists.

In most hospitals in China, pharmacies can complete daily work such as drug supply and dispensing, and doctors' prescriptions are well prepared. If nothing goes wrong, the hospital will think that the pharmacy work has basically completed the task. Although some hospital pharmacies carry out drug consultation services, they are only limited to patients seeking consultation, and only introduce the usage, dosage and general precautions of drugs to patients, without in-depth discussion on patients' medication history and clinical evaluation of therapeutic drugs, and hospitals rarely require this.

1.3 Society lacks trust in pharmacists.

There is a common problem in society. Most patients would rather trust doctors than pharmacists. If the doctor does not prescribe according to the usage and dosage of the drug instructions, the pharmacist will correct it when prescribing. Patients often don't recognize and trust pharmacists. This traditional concept directly affects the transformation of pharmacists' participation in disease treatment and pharmaceutical services [1].

1.4 hospitals pay insufficient attention to licensed pharmacists.

China has a common problem. Pharmacists are needed in pharmaceutical factories and pharmacies, and licensed pharmacists are the qualifications of pharmaceutical factories and pharmacies. However, licensed pharmacists working in hospitals can't fully utilize and reflect licensed pharmacist resources, and it is difficult for licensed pharmacists in hospital pharmacies to get attention and reuse, which makes many pharmacists lose their confidence and courage to take the licensed pharmacist examination and the opportunity to improve their professional level.

1.5 hospitals do not know enough about the value of pharmacists.

Hospitals generally believe that pharmacy pharmacists have simple work, strong repeatability and low technical gold content, as long as they don't send wrong drugs and write wrong usage and dosage. Moreover, pharmaceutical service cannot directly reflect economic and social benefits, so it is difficult for hospitals to attach importance to it, let alone establish an effective pharmaceutical service system, let alone train pharmaceutical service professionals step by step.

1.6 The clinical professional level of pharmacists is limited.

Because of China's pharmaceutical education system, I mainly study pharmaceutical theory at school, lacking clinical pharmaceutical knowledge. Engaged in monotonous and repetitive drug dispensing work in hospital pharmacies, coupled with the continuous emergence of new drugs, their professional knowledge tends to age, so it is a bit reluctant for them to participate in guiding clinical rational drug use [2]. It is often decoupled from clinic.

1.7 pharmacists are not enough to update pharmaceutical knowledge.

Because pharmacy pharmacists are busy with dispensing work all day, they have less time to go out to study than doctors. As a pharmacist, I mainly do simple work in the hospital every year. Miki? Theoretical examination. Pharmaceutical pharmacists lack the motivation to update their professional knowledge of pharmacy, and they can't get the attention they deserve from hospitals, so it is difficult to improve their professional level.

2 prospects of pharmaceutical care in hospital pharmacies

2. 1 pharmacy work transformation

With the development of social demand, pharmacy dispensing work should be changed from? Experience in gymnastics and service? Mode direction? Pharmaceutical knowledge and technical services? Therefore, hospital pharmacy should establish a patient-centered service model, track patients' medication, implement individualized optimization of medication, and take the overall improvement of pharmaceutical service quality and art as the focus of daily work. Only by recognizing this, can we do better pharmaceutical services.

2.2 Pay attention to pharmacy pharmaceutical services

Because of the large number of patients in pharmacies, pharmacists are the correct selectors and supervisors of drugs, and also the service providers for patients to use drugs safely and reasonably. The quality of service is directly related to the physical and mental health of patients and the service quality of the whole hospital, so pharmaceutical workers are needed? Patient-centered? Provide safe pharmaceutical services. This requires hospitals to recognize the development trend of pharmaceutical work and the importance of pharmaceutical service, change the previous working mode, put pharmaceutical service in the first place, establish a long-term mechanism for pharmaceutical personnel training, give full play to the role of pharmaceutical services, create a good pharmaceutical development environment, and create favorable conditions for pharmaceutical personnel training, so as to comprehensively improve the quality of pharmaceutical services [3-4].

2.3 Establish and improve the pharmaceutical care system of hospital pharmacies.

Establish standard operating procedures and processes, establish a quality evaluation system, quantify the pharmaceutical service ability of each pharmacist, and choose

Choose a pharmacist suitable for outpatient service. Establish a long-term pharmaceutical service system, and establish and implement corresponding pharmaceutical service systems, such as the clinical evaluation system of therapeutic drugs. The purpose of establishing these systems is to ensure the smooth progress of pharmaceutical care, and the key point is to implement the prescription review system and ensure the quality. Only by means of quality management and supplemented by other systems can the healthy development of pharmaceutical services be effectively promoted.

2.4 Improve the social status of pharmaceutical pharmacists in hospitals

Only by giving play to the policy-oriented role of the new medical reform, attaching importance to the role of pharmacy pharmacists, strengthening the extensive publicity of pharmacists' pharmaceutical ability and improving their social status can we enhance the confidence and courage of pharmacists, give full play to their enthusiasm and initiative, and better develop pharmacy pharmaceutical services. Pharmacists should also give full play to the role of masters, provide high-quality pharmaceutical services for patients, and ensure patients to use drugs safely, effectively and rationally, so as to gain social recognition and reflect their own value.

2.5 comprehensively improve the comprehensive quality of pharmaceutical pharmacists

The quality of pharmaceutical care depends on service ability and professional level. Constantly improving the professional quality of pharmacists is the fundamental guarantee for doing a good job in pharmaceutical care. Therefore, the state should establish a set of pharmaceutical discipline system and education system that meet the requirements of the times and practical application as soon as possible, and cultivate pharmaceutical talents in a solid manner. Pharmaceutical pharmacists should not only complete the daily drug supply and dispensing work, but also strengthen the study of basic medicine, clinical medicine and clinical medication, and often go to clinical departments to make rounds to study, organically combine pharmaceutical and clinical medical knowledge and improve their understanding of clinical knowledge. Usually, pharmacists are given more opportunities to go out for study or training, so that they can broaden their horizons and constantly update their knowledge.

2.6 Strengthen communication between pharmacists and patients

The original window dispensing mode is improved to the counter dispensing environment where pharmacists communicate with patients face to face, so as to strengthen the communication between pharmacists and patients, understand the patient's condition and medication history, establish a medication calendar for patients and provide more reasonable medication services. Only by changing patients' understanding of pharmacists can the pharmaceutical service value of pharmacists be fully reflected.

2.7 the implementation of pharmaceutical pharmacists and clinical pharmacists rotation system.

At present, most hospitals in China are pharmaceutical pharmacists doing pharmaceutical work, so that pharmaceutical pharmacists lack understanding of clinical pharmacy knowledge. Only by establishing a long-term training system for pharmacists and implementing a rotation system between pharmaceutical pharmacists and clinical pharmacists can the pharmaceutical level of pharmaceutical pharmacists be comprehensively improved.

2.8 to create a good pharmaceutical social atmosphere

Under the condition of low overall cultural quality in China, it is urgent for pharmaceutical pharmacists to publicize patients' medication while doing their daily work. By publicizing the knowledge of drug use to the masses in different ways in the community and grassroots, the masses can realize how to use drugs rationally and what problems should be paid attention to in the process of drug use, which can not only give full play to the role of pharmacists, but also enhance the society's trust in pharmacists and make patients use drugs more safely, effectively and reasonably.

To sum up, to? Patient-centered? Providing patients with full-course pharmaceutical care is the development direction of hospital pharmacy, and it is also the opportunity and challenge faced by hospital pharmacy. Facing the present situation of hospital pharmacy pharmaceutical service, hospital pharmacy pharmaceutical service can keep up with the requirements of the times only by continuous reform and improvement.

[References]

Ho, Li Xiumei. Present situation and countermeasures of outpatient pharmaceutical service in our hospital [J]. Chinese medicine guides, 2009, 7 (6): 42-43.

[2] Zhang Shige, Ma Guohui. The mission and inevitability of the change of pharmacists' responsibilities [J]. China Pharmacy, 2006, 17 (2): 84-86.

[3] Stone writing. Improve the comprehensive quality of pharmacists and do a good job in pharmaceutical service [J]. Strait pharmaceutical journal Journal, 20 1 1, 23 (10): 246-248.

[4] Zhang Hui. Analysis on how pharmacists strengthen pharmaceutical services and improve the relationship between doctors and patients [J]. chinese medicine guides, 20 1 1, 9 (30): 395-397.

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