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自2002年《医疗机构药事管理暂行规定》的颁布以来,全国各地医疗机构积极响应,临床药师制试点工作陆续开展,国内大型三甲医院的临床药学服务较为突出。然而,承担着各种常见病、多发病治疗的基层医院,临床药学工作的开展倍受人才、设备、观念等方面的制约,药学服务水平仍然止步不前。归咎根源,临床药师定位不清是最大的障碍。笔者结合本院临床药师制试点工作的实践,就临床药师的定位问题进行探讨。
Since the promulgation of the Interim Provisions on the Administration of Pharmaceutical Affairs in Medical Institutions in 2002, the medical institutions across the country have responded positively. The pilot work on clinical pharmacists has been carried out one after another. The clinical pharmacy services of the major domestic top three hospitals are prominent. However, grass-roots hospitals that undertake various common diseases and frequently-occurring diseases are greatly constrained in terms of personnel, equipment and concepts in their clinical pharmacy work, and the pharmaceutical service level is still at a standstill. Attribution to the root causes of clinical pharmacists unclear positioning is the biggest obstacle. The author combines the practice of clinical pharmacists in our hospital pilot practice to discuss the positioning of clinical pharmacists.