发展
药师
职业
价值
美国
中国
体会
开展药师职业价值美国药师在中国的体会,明仁睿,第一页,共二十二页。,提纲,药剂师的定义是什么?一位药剂师现阶段能够提供什么样的效劳呢?美国的情况和中国有什么区别呢(我的体会)教育医疗效劳时机职业开展如何改善现阶段药师的职业状态?,2023/7/5,2,开展药师职业价值,第二页,共二十二页。,我是一位药剂师,2023/7/5,3,开展药师职业价值,第三页,共二十二页。,药剂师,你怎么理解药剂师这个职业?很对人对药剂师工作存在很多误解。甚至医生,护士,等等他们只发药。在柜台后面的那个人。你为什么给我打联系电话 呢。你只把药给我,行吗?。,2023/7/5,4,开展药师职业价值,第四页,共二十二页。,药师的工作跟你有什么关系,2023/7/5,5,开展药师职业价值,第五页,共二十二页。,一位药剂师在现阶段能够提供什么样的效劳呢?,2023/7/5,6,开展药师职业价值,第六页,共二十二页。,第七页,共二十二页。,第八页,共二十二页。,一些药师提供的效劳,协同监护模式(Collaborative practice)药剂师提供的用药教育和指导预防性保健效劳/指导(Health&Wellness)药师提供用药重整(med reconciliation)药师提供药物治疗管理(MTM)参谋药师(Consultant Pharmacist)参与临床多学科查房发药品药学实践研究(Practice Research),2023/7/5,9,开展药师职业价值,第九页,共二十二页。,药物治疗管理(MTM)用药重整患者宣教和行为辅导,2023/7/5,开展药师职业价值,10,第十页,共二十二页。,证明药师工作价值的参考文献,Chisholm-Burns MA,Kim Lee J,Spivey CA,et al.US pharmacists effect as team members on patient care:systematic review and meta-analyses.Med Care.2022;48(10):923-933.Hall D,Buchanan J,Helms B,et al.Health care expenditures and therapeutic outcomes of a pharmacist-managed anticoagulation service versus usual medical care.Pharmacotherapy.2022;31(7):686-694.Smith MC,Boldt AS,Walston CM,Zillich AJ.Effectiveness of a pharmacy care management program for veterans with dyslipidemia.Pharmacotherapy.2022;33(7):736-743.Bunting BA,Cranor CW.The Asheville Project:long-term clinical,humanistic,and economic outcomes of a community-based medication therapy management program for asthma.J Am Pharm Assoc(2003).2006;46(2):133-147.Kraemer DF,Kradjan WA,Bianco TM,Low JA.A randomized study to assess the impact of pharmacist counseling of employer-based health plan beneficiaries with diabetes:the EMPOWER study.J Pharm Pract.2022;25(2):169-179.Santschi V,Chiolero A,Burnand B,Colosimo AL,Paradis G.Impact of pharmacist care in the management of cardiovascular disease risk factors:a systematic review and meta-analysis of randomized trials.Arch Intern Med.2022;171(16):1441-1453Kucukarslan SN,Hagan AM,Shimp LA,Gaither CA,Lewis NJ.Integrating medication therapy management in the primary care medical home:A review of randomized controlled trials.Am J Health Syst Pharm.2022;68(4):335-345.Bennett MI,Bagnall AM,Raine G,et al.Educational interventions by pharmacists to patients with chronic pain:systematic review and meta-analysis.Clin J Pain.2022;27(7):623-630.,2023/7/5,11,开展药师职业价值,第十一页,共二十二页。,医生给一个3kg 重4个月大的宝宝开了处方:Cefaclor(头孢克洛)10mg 口服3次/天护士要给病人药,不太清楚 Calcium Gluconate(葡萄糖酸钙)和 Sodium Glycerophosphate(甘油磷酸钠)是否可以经过三通给药.一位67岁的女性患者的处方:Levofloxacin(左氧氟沙星)500mg 口服一次一片,1次/天(医院获得性肺炎)Zolpidem(唑吡坦)10mg 口服一次一片,2次/天,睡前吃,2023/7/5,12,开展药师职业价值,第十二页,共二十二页。,美国的情况和中国有什么区别呢(我的体会),2023/7/5,13,开展药师职业价值,第十三页,共二十二页。,2023/7/5,14,开展药师职业价值,第十四页,共二十二页。,2023/7/5,15,开展药师职业价值,第十五页,共二十二页。,如何改善现阶段药师的职业状态?,2023/7/5,16,开展药师职业价值,第十六页,共二十二页。,中国的人口老龄化问题委员会认证的老年病药剂师(CGP)慢性病的问题委员会认证的门诊药师(BCACP)癌症患者的问题委员会认证的肿瘤药剂师(BCOP)参与临床多学科查房,等等委员会认证的药物治疗专家(BCPS),2023/7/5,17,开展药师职业价值,第十七页,共二十二页。,改善药学课程设置和安排推进药师培训和专科认证的过程追求药师认证的身份支持你的职业,2023/7/5,开展药师职业价值,18,第十八页,共二十二页。,证明药师工作价值的参考文献,Chisholm-Burns MA,Kim Lee J,Spivey CA,et al.US pharmacists effect as team members on patient care:systematic review and meta-analyses.Med Care.2022;48(10):923-933.Hall D,Buchanan J,Helms B,et al.Health care expenditures and therapeutic outcomes of a pharmacist-managed anticoagulation service versus usual medical care.Pharmacotherapy.2022;31(7):686-694.Smith MC,Boldt AS,Walston CM,Zillich AJ.Effectiveness of a pharmacy care management program for veterans with dyslipidemia.Pharmacotherapy.2022;33(7):736-743.Bunting BA,Cranor CW.The Asheville Project:long-term clinical,humanistic,and economic outcomes of a community-based medication therapy management program for asthma.J Am Pharm Assoc(2003).2006;46(2):133-147.Kraemer DF,Kradjan WA,Bianco TM,Low JA.A randomized study to assess the impact of pharmacist counseling of employer-based health plan beneficiaries with diabetes:the EMPOWER study.J Pharm Pract.2022;25(2):169-179.Santschi V,Chiolero A,Burnand B,Colosimo AL,Paradis G.Impact of pharmacist care in the management of cardiovascular disease risk factors:a systematic review and meta-analysis of randomized trials.Arch Intern Med.2022;171(16):1441-1453Kucukarslan SN,Hagan AM,Shimp LA,Gaither CA,Lewis NJ.Integrating medication therapy management in the primary care medical home:A review of randomized controlled trials.Am J Health Syst Pharm.2022;68(4):335-345.Bennett MI,Bagnall AM,Raine G,et al.Educational interventions by pharmacists to patients with chronic pain:systematic review and meta-analysis.Clin J Pain.2022;27(7):623-630.,2023/7/5,19,开展药师职业价值,第十九页,共二十二页。,结论,第二十页,共二十二页。,谢谢大家,2023/7/5,开展药师职业价值,21,第二十一页,共二十二页。,内容总结,开展药师职业价值美国药师在中国的体会。甚至医生,护士,等等。你为什么给我打联系电话 呢。药师提供药物治疗管理(MTM)。Zolpidem(唑吡坦)10mg 口服一次一片,2次/天,睡前吃。委员会认证的老年病药剂师(CGP)。21,第二十二页,共二十二页。,