我国医疗机构药学会诊工作模式分析:一项范围综述OA北大核心CSTPCD

OBJECTIVE To systematically summarize the working model of pharmacy consultation in medical institutions in China,and to provide reference for the normalization of process,standardization of content and homogenization of services of pharmacy consultation.METHODS A systematic search of Chinese and English literature databases was conducted to incorporate the literature on the working model of pharmacy consultation published by medical institutions in China.Two researchers screened and extracted the key information,and ultimately conducted qualitative summary and descriptive analysis.RESULTS Based on the included 11 articles,the pharmacy consultation working models were explored by clinical pharmacists in China.The contents of consultation mainly involved anti-infection,parenteral nutrition,cancer pain,etc.The general concept of pharmacy consultation should refer to the constructed flowchart,specific consultation problems could refer to the pathway,mind map,or decision tree and other framework guidance to carry out the work.Finally,consultation opinions could be written according to the consultation system or specialty consultation templates,and the adoption of a new working model(such as pharmacist active consultation)could also promote the number and acceptance rate of pharmacy consultation.CONCLUSIONS A series of working models of pharmacy consultation have been initially explored in medical institutions in China.However,it is not yet perfect and lacks a unified quality control and evaluation system for pharmacy consultation,which should be the focus of future research and practice.