Page 115 - 《中国药房》2024年15期

我院中医师与中药临床药师联合会诊工作模式建立及实践
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陈 菲 ，王 倩 ，王海征 ，林晓兰 ，庄 伟 （1.首都医科大学宣武医院药学部，北京 100053；2.首都医科大
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学宣武医院中医科，北京 100053）
中图分类号 R95 文献标志码 A 文章编号 1001-0408（2024）15-1905-05
DOI 10.6039/j.issn.1001-0408.2024.15.18

摘 要 目的 为医疗机构选择和建立适用于自身临床特色的中药临床药学服务模式提供参考。方法 结合临床案例，介绍我院
中医师与中药临床药师联合会诊模式的工作流程、服务内容，并进行成效分析。结果 我院联合会诊药学服务模式的工作流程分
为评估患者用药情况，会诊查房、制定给药方案，床旁教育，药学监护，药学查房和药学延伸服务6个环节。该模式的服务内容主
要包括会诊前充分收集临床信息，评估患者药物治疗方案；会诊中针对患者个体化情况，中药临床药师与中医师一起制定给药方
案；会诊后开展床旁用药教育，保障患者正确用药；会诊后制定并执行药学监护计划；会诊后监测患者病情变化，及时反馈至会诊
中医师以调整给药方案；会诊后提供药学延伸服务，开展药物咨询、药学门诊、联合门诊。该模式建立后，每年服务住院患者近
1 000人次，服用中药饮片患者的医嘱审核率为100%；个体化用药教育占比达到78.80%，患者满意度为100%；病区中药饮片处方
合格率由联合会诊工作开展前的89.33%提高至开展后的97.08%；每年为1 000余例患者提供中药相关咨询，为医护人员整理、提
供药学资料近百份。结论 通过建立中医师与中药临床药师联合会诊工作模式，开展中药临床药学服务，提高了中药饮片的合理
使用水平，体现了中药临床药师价值。
关键词 中药临床药师；中医师；联合会诊；药学服务

Establishment and practice of joint consultation mode between TCM physicians and TCM clinical
pharmacists in our hospital
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CHEN Fei ，WANG Qian ，WANG Haizheng ，LIN Xiaolan ，ZHUANG Wei（1. Dept. of Pharmacy， Xuanwu
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Hospital Capital Medical University， Beijing 100053， China；2. Dept. of Traditional Chinese Medicine， Xuanwu
Hospital Capital Medical University， Beijing 100053， China）
ABSTRACT OBJECTIVE To provide a reference for medical institutions in selecting and establishing a traditional Chinese
medicine （TCM） clinical pharmaceutical care mode that suits their clinical characteristics. METHODS Combining clinical cases，
this paper introduces the workflow and service content of the joint consultation mode between TCM physicians and TCM clinical
pharmacists in our hospital and analyzes its effectiveness. RESULTS The workflow of the pharmaceutical care mode in our hospital
involves six stages：assessing the patient’s medication status， consultation rounds and formulating medication regimen， bedside
education， pharmaceutical monitoring， pharmacist rounds， and extended pharmaceutical care. The care content primarily includes
thoroughly collecting clinical information and evaluating the patient’s medication regimen before the consultation. During the
consultation， TCM clinical pharmacists and TCM physicians jointly developed a dosage regimen tailored to the patient’s individual
conditions. After the consultation， bedside medication education was conducted to ensure the correct use of medications and a
pharmaceutical monitoring plan was developed and implemented， during which the patient’s post-consultation condition changes
were monitored and timely feedback to the TCM physicians for medication plan adjustments was provided， offering extended
pharmaceutical care post-consultation， including medication consultation， pharmaceutical outpatient services， and joint clinics.
Since its implementation， nearly 1 000 inpatients have been served annually， with a 100% medical order review rate for patients
taking TCM decoction pieces. Individualized medication education reached 78.80%， and patient’s degree of satisfaction was 100%.
The prescription compliance rate of TCM decoction pieces in the wards increased from 89.33% before the implementation of the
joint consultation to 97.08% afterward. Additionally， the mode provided TCM-related consultations to over 1 000 patients annually
and compiled and provided nearly a hundred pharmaceutical documents to healthcare personnel. CONCLUSIONS By establishing
the joint consultation mode between TCM physicians and TCM
Δ 基金项目 北京市第二批中药骨干人才培养项目（No.京中医科
clinical pharmacists and conducting TCM clinical
字〔2018〕213号）；北京市第三批中药骨干人才培养项目（No.京中医科
pharmaceutical care， the level of rational use of TCM
字〔2022〕67 号）；北 京 市 中 医 药 科 技 发 展 资 金 重 点 项 目（No. JJ-
decoction pieces has been promoted， demonstrating the value
2023-60）
＊第一作者 副主任药师，硕士。研究方向：中药临床药学。 of TCM clinical pharmacists.
E-mail：chenfeijill@163.com KEYWORDS TCM clinical pharmacists； TCM physicians；
# 通信作者 副主任药师，副教授，硕士。研究方向：中药临床药 joint consultation； pharmaceutical care
学。E-mail：13522406044@163.com

中国药房 2024年第35卷第15期 China Pharmacy 2024 Vol. 35 No. 15 · 1905 ·