基层药师与全科医生团队合作的研究进展、挑战及应对策略

doi:10.12114/j.issn.1007-9572.2022.0615

中国全科医学 ›› 2023, Vol. 26 ›› Issue (10): 1179-1185.DOI: 10.12114/j.issn.1007-9572.2022.0615

基层药师与全科医生团队合作的研究进展、挑战及应对策略

邓志玲¹, 陆益婷², 梁旭健³, 曾锐峰⁴, 李海昕⁵, 卢盼攀⁶, 徐志杰⁷^,^*()

1．518033　广东省深圳市，中山大学附属第八医院荔村区域社康中心
2．200092　上海市，同济大学医学院全科医学系
3．310016　浙江省杭州市，浙江大学医学院附属邵逸夫医院全科医学科
4．511300　广东省广州市增城区荔城街社区卫生服务中心
5．710061　陕西省西安市，西安交通大学第一附属医院药学部
6．318000　浙江省台州市，台州市立医院全科医学科
7．310009　浙江省杭州市，浙江大学医学院附属第二医院全科医学科

收稿日期:2022-09-02 修回日期:2022-12-11 出版日期:2023-04-05 发布日期:2023-01-30
通讯作者: 徐志杰
邓志玲，陆益婷，梁旭健，等.基层药师与全科医生团队合作的研究进展、挑战及应对策略[J].中国全科医学，2023，26（10）：1179-1185.[www.chinagp.net]

作者贡献：邓志玲、徐志杰负责文章的构思与设计、可行性分析、论文撰写；陆益婷、梁旭健、曾锐峰、李海昕、卢盼攀负责文献/资料收集和整理；徐志杰对文章整体负责，监督管理。
基金资助:
浙江省教育厅一般科研项目（Y202148336）——社区医疗机构开设药学门诊的策略与挑战研究

Collaboration between Primary Care Pharmacists and General Practitioner Teams: Recent Developments, Challenges and Countermeasures

DENG Zhiling¹, LU Yiting², LIANG Xujian³, ZENG Ruifeng⁴, LI Haixin⁵, LU Panpan⁶, XU Zhijie⁷^,^*()

1. Licun Community Health Service Center, the Eighth Affiliated Hospital, Sun Yat-sen University, Shenzhen 518033, China
2. Department of General Practice, Tongji University School of Medicine, Shanghai 200092, China
3. Department of General Practice, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou 310016, China
4. Guangzhou Zengcheng District Licheng Street Community Health Center, Guangzhou 511300, China
5. Department of Pharmacy, the First Affiliated Hospital of Xi'an Jiaotong University, Xi'an 710061, China
6. Department of General Practice, Taizhou Municipal Hospital, Taizhou 318000, China
7. Department of General Practice, the Second Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou 310009, China

Received:2022-09-02 Revised:2022-12-11 Published:2023-04-05 Online:2023-01-30
Contact: XU Zhijie
About author:
DENG Z L, LU Y T, LIANG X J, et al. Collaboration between primary care pharmacists and general practitioner teams: recent developments, challenges and countermeasures [J]. Chinese General Practice, 2023, 26 (10): 1179-1185.

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摘要/Abstract

摘要： 随着药师的职能转变，其在基层医疗卫生机构提供药学服务的模式和内容发生了明显的变化，在与全科医生团队的合作中可发挥出更大的价值。本文阐述了国内外基层药师与全科医生团队合作的内容与模式，探讨目前合作对于改善患者临床结局、节约医疗开支和规范合理用药等方面的成效，总结出合作面临的挑战和困境，包括全科医生合作意愿低、患者对基层药师专业能力信心不足、基层药师的角色转换阻碍、额外增加医疗费用及基础设施不完善等。针对以上阻碍因素，本文提出明确基层药师在全科医生团队中的职责、构建激励制度和加强经费管理、加强基层药师培训和构建岗位胜任力评价体系、加强全科医生和药师的沟通和互信、优化合作模式5个方面的应对策略，旨在为推动我国基层药师与全科医生团队合作提供理论借鉴和策略支持。

关键词: 基层药师, 全科医生团队, 医师-药师合作管理, 药学服务

Abstract:

With the transformation of the role of pharmacists, the model and content of pharmacy services in primary care delivered by them have changed significantly, and they may play a greater role in the collaboration with general practitioner teams. This paper elaborated the content and model of collaboration between primary care pharmacists and general practitioner teams globally, analyzed the current effects of collaboration on improving clinical outcomes of patients, saving medical expenses and standardizing rational use of medicines, and summarized the challenges and barriers to collaboration, including general practitioners' low willingness to collaborate, patients' lack of confidence in the professional competence of primary pharmacists, barriers to role conversion of primary care pharmacists, additional medical costs, and imperfect infrastructure, etc. In view of the above barriers, this paper proposed five coping strategies, including clearly defining the responsibility of pharmacists in general practitioner teams, developing the incentive system and improving the management of fund, enhancing the training for community pharmacists and constructing the position-specific competencies evaluation system, strengthening the communication and mutual trust between general practitioners and pharmacists, and optimizing the pattern of collaboration. All of these provide theoretical reference and strategic support for the development of the collaboration between primary care pharmacists and general practitioners teams in China.

Key words: Primary care pharmacists, General practitioner teams, Physician-pharmacist collaborative management, Community pharmacy services

邓志玲,陆益婷,梁旭健,等. 基层药师与全科医生团队合作的研究进展、挑战及应对策略[J]. 中国全科医学, 2023, 26(10): 1179-1185. DOI: 10.12114/j.issn.1007-9572.2022.0615.
DENG Zhiling,LU Yiting,LIANG Xujian, et al. Collaboration between Primary Care Pharmacists and General Practitioner Teams: Recent Developments, Challenges and Countermeasures[J]. Chinese General Practice, 2023, 26(10): 1179-1185. DOI: 10.12114/j.issn.1007-9572.2022.0615.

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基层药师与全科医生团队合作的研究进展、挑战及应对策略

Collaboration between Primary Care Pharmacists and General Practitioner Teams: Recent Developments, Challenges and Countermeasures

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