Health: only a paper provisions is far from enough

health

YanGuo into (CDC researchers)

      March 30, ministry of health and the state administration of traditional Chinese medicine and the general logistics department jointly issued by the ministry of drug provisions on the administration of medical institutions. "Regulation" proposes, medical institutions shall be equipped with clinical pharmacist, level 3 hospital clinical pharmacist no less than five of the second class hospitals, not less than 3 clinical pharmacists pharmaceutical professional technical personnel, the agency shall be not less than 8% of health professionals. And set up by physicians, clinical pharmacists and nurses clinical treatment team, working in clinical rational drug use. (March 31 "health")

     Clinical pharmacist throughout the hospital and drug related each link, including assist doctors formulation personalization dosing provide pharmaceutical care for patients, with consulting, and monitor drug use during adverse reactions, such as medication safety, improve in ensuring rational drug use level plays a vital role. But according to investigate, since 2002 health issued the requirment of medical institutions since the provisional regulations of the administration of medical institutions, many of the "regulation" when no matter, many local level 2 medical institutions clinical pharmacist system is blank, pharmaceutical professional technical personnel and the proportion is very low, the more any talk about rural hospitals? This phenomenon worth ponder health administrative departments at all levels.

     The "interim provisions" is appear "pale", the key lies in the "interim provisions" later not below, various health department only stay in the "upload documents issued", not only dispatch for document formulate corresponding implementing regulations and punishment incentives, usually the inspection also just do surface articles, "dragonfly water", protecting, guidance, which leads to many hospitals lack goes not to enforce the "interim provisions".

     In addition, hospital administrators, clinical doctors are not "brainwashed", obsolete concepts hasn't changed, think pharmacists work is limited to the pharmacy, pharmacy, clinical how to drug and drug reaction observation is the clinical doctors. Little imagine, clinical doctors to pharmacology, far less than the knowledge of the respect such as the pharmacists, clinical doctors can't replace pharmacists work. In recent years adverse drug reactions, resistance to the patient's health signality drugs phenomenon caused damage events and in many cases because of common clinical pharmacists in clinical doctors lack reasonable choose the correct guidance of drugs and rational drug use. The guidance of patients

      Pharmacist into clinical, to a great extent, can restrain in clinical doctors prescription drug compatibility is not reasonable, drug not semeiologically, drug overdoses etc. Bad happens; Develop adverse drug reaction monitoring and reporting, to ensure the safe drug use and the patient was sure the Gospel. Nowadays, ministry of health and other department issued the regulations, the medical institution shall be equipped with corresponding requirements, and the number of clinical pharmacists in clinical drug therapy full-time work, education, medicine for patients with drug. Safety guide I wish the "regulation" can around blossom everywhere, exemptions. Not only the second class above medical institutions into clinical pharmacists, and level of to normal following rural hospitals, clinic, community health service center (station), clinical drug is also often should let pharmacists critiques, guidance, might as well in the senior pharmacist gives superior hospital regularly to descend a basic level of clinical doctors and grass-roots units for grass-roots pharmacists drug business lectures and targeted guidance.

     How to let the pharmacists really come into clinical, the author thinks that one is should, according to the provisions around, establish and perfect the management of medical institution detailed rules for the implementation of clinical pharmacists, classification, gradation don't mandatory clinical pharmacist quantity and pharmaceutical professional and technical personnel, implementing "one ticket veto". 2 it is through various forms to strengthen various medical institutions managers, medical personnel and the public with clinical pharmacist necessity, in recognition of the importance of clinical pharmacists, build the good opinion into atmosphere. Three is health administrative departments at all levels to put clinical pharmacist system construction is included in the hospital management by objectives as evaluation system all hospitals, "a" projects, and the violations to administrative and economic sanctions, and criticized. The fourth is to strengthen the inspection and assessment, social public opinion polls. Health administrative departments at all levels, food and drug supervision departments should often through examine investigations, see whether each clinical departments, the medical records of clinical pharmacists tracking rounds on selecting herbs or pharmacist guidance, medication records; Clinical pharmacist have be patient tracking drug monitoring; Every year in hospital clinical pharmacists whether credit investigation, social satisfaction survey, see clinical pharmacist is suitable for the job. Only in this way can we truly let pharmacists into clinical, to ensure that the majority of patients drug use effect and drug safety.