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基层医疗视角下共享中药房的发展
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          孙茜茜    1, 2* ,刘春宇 ,李丝雨 ,袁 曼 ,郦春锦 ,李易轩 ,吴 涛 ,周伟勇 ,翟华强 (1.北京中医药大
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          学中药学院,北京 102488;2.北京中医药大学中药调剂标准化研究中心,北京 102488;3.北京市朝阳区孙河
          社区医院,北京 100020;4.北京市昌平区回龙观社区卫生服务中心,北京 102208;5.杭州唐古信息科技有限
          公司,杭州 310058)
          中图分类号  R952;R288      文献标志码  A      文章编号  1001-0408(2023)03-0269-06
          DOI  10.6039/j.issn.1001-0408.2023.03.03
          摘  要  为使共享中药房在基层医疗中更高效、规范地发展,本文采用文献调研法,以“共享中药房”为检索词在中国知网、各级人
          民政府网、国家中医药管理局官网、人民网、中国新闻网、新华网等平台检索2022年5月20日前的报道、文献与政策,梳理出“共享
          中药房”与“智慧中药房”2种“互联网+”中药房的发展模式与历程,并进行相互比较。结合社区医院、社区服务中心(站)实际工
          作,从基层医疗角度出发得出“共享中药房”发展的必要性与优势(如其可减少药品流通中间环节从而降低成本、规范基层用药流
          程等),并结合共享中药房在县域医共体推广应用的现状,得出应从完善常态化背景下药品集采工作流程、提高全流程调剂信息系
          统模块的兼容性与同步性、统一药事服务及人才培养、界定数据查询权限、明确患者隐私界限4个方面进一步建设共享中药房。
          最后整合信息化技术,总结出共享中药房的定义以及未来建设方向,为共享中药房在基层的下一步发展提供参考。
          关键词  互联网+;共享中药房;智慧中药房;基层医疗

          Development  of  shared  traditional  Chinese  medicine  pharmacy  from  the  perspective  of  primary  medical
          care
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          SUN Qianqian ,LIU Chunyu ,LI Siyu ,YUAN Man ,LI Chunjin ,LI Yixuan ,WU Tao ,ZHOU
          Weiyong ,ZHAI Huaqiang (1.  College  of  Traditional  Chinese  Medicine,  Beijing  University  of  Chinese
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          Medicine,  Beijing  102488,  China;2.  Standardization  Research  Center  of  Traditional  Chinese  Medicine
          Dispensing,  Beijing  University  of  Chinese  Medicine,  Beijing  102488,  China;3.  Beijing  Chaoyang  District
          Sunhe  Community  Health  Service  Center,  Beijing  100020,  China;4.  Beijing  Changping  District  Huilongguan
          Community  Health  Service  Center,  Beijing  102208,  China;5.  Hangzhou  Tanggu  Information  Technology  Co.,
          Ltd., Hangzhou 310058, China)
          ABSTRACT   In  order  to  make  the  shared  traditional  Chinese  medicine (TCM)  pharmacy  develop  more  efficiently  and
          normatively at the grass-roots level, using the “shared TCM pharmacy” as the retrieval word, this paper uses the literature research
          method to retrieve the reports, documents and policies from CNKI, the websites of people’s governments at all levels, the official
          websites of the State Administration of Traditional Chinese Medicine, people.com, China News Network, Xinhua News and other
          platforms  before  May  20,  2022,  sort  out  the  development  mode  and  history  of  two “Internet  plus”  TCM  pharmacies,  namely
         “shared  TCM  pharmacies”  and “smart  TCM  pharmacies”,  and  compare  them  with  each  other.  Combined  with  the  actual  work  of
          community  hospitals  and  community  service  centers (stations),  the  necessity  and  advantages (such  as  reducing  the  costs  of  the
          intermediate  links  of  drug  circulation  and  standardizing  the  grass-roots  drug  use  process)  of  the  development  of “shared  TCM
          pharmacy”  are  obtained  from  the  perspective  of  primary  medical  care.  Combined  with  the  current  situation  of  the  promotion  and
          application  of  shared  TCM  pharmacy  in  county  medical  communities,  it  is  concluded  that  the  shared  TCM  pharmacy  should  be
          further  constructed  from  four  aspects:  improving  the  work  process  of  drug  centralized  procurement  under  the  background  of
          normalization,  improving  the  compatibility  and  synchronization  of  the  whole  process  dispensing  information  system  module,
          unifying pharmaceutical services and personnel training, defining the authority of data query and clarifying the boundaries of patient
          privacy to further build a shared TCM pharmacy. Finally, it integrates information technology, summarizes the definition of shared
                                                             TCM  pharmacy  and  its  future  construction  direction,  and
             Δ 基金项目 国家重点研发计划项目(No.2019YFC1712002)
                                                             provides  reference  for  the  next  development  of  shared  TCM
             *第一作者 硕士研究生。研究方向:基层中药调剂技术信息化。
          E-mail:2292959865@qq.com                           pharmacy at the grass-roots level.
             # 通信作者 教授,博士生导师,博士。研究方向:中药调剂技术规                 KEYWORDS     Internet  plus;  shared  TCM  pharmacy;  smart
          范化。E-mail:jz711@qq.com                             TCM pharmacy; primary medical care


          中国药房  2023年第34卷第3期                                                 China Pharmacy  2023 Vol. 34  No. 3    · 269 ·
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