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[1]金蕾杨耀芳.高质量发展背景下社区医疗机构药学服务体系构建[J].中国卫生质量管理,2026,33(7):103-106.[doi:10.13912/j.cnki.chqm.2026.33.7.20]
　JIN Lei,YANG Yaofang.Exploration on the Construction of the Pharmacy Service System in Community Healthcare Institutions under the Background of High-Quality Development[J].Chinese Health Quality Management,2026,33(7):103-106.[doi:10.13912/j.cnki.chqm.2026.33.7.20]

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高质量发展背景下社区医疗机构药学服务体系构建

《中国卫生质量管理》[ISSN:1006-7515/CN:CN 61-1283/R] 卷: 33 期数: 2026年7期页码: 103-106 栏目: 基层卫生质量出版日期: 2026-07-15

Title:: Exploration on the Construction of the Pharmacy Service System in Community Healthcare Institutions under the Background of High-Quality Development

作者:: 金蕾杨耀芳; 上海市闵行区古美社区卫生服务中心

Author(s):: JIN Lei; YANG Yaofang; Gumei Community Health Service Center

关键词:: 高质量发展; 药学服务; 社区医疗机构; 社区患者用药

Keywords:: High-Quality Development; Pharmaceutical Care; Community Healthcare Institution; Community Patient Medication

分类号:: R197.6；R95

DOI:: 10.13912/j.cnki.chqm.2026.33.7.20

文献标志码:: B

摘要:: 聚焦社区医疗机构药学服务发展内涵建设，结合社区患者特点和用药需求，探索基于结构—过程—结果理论的智慧信息平台+药学服务体系。在结构维度，通过创建智慧药房，搭建智能化用药服务信息平台，建立智慧药房—药学专病门诊—服务站点三级管理架构；在过程维度，建立“上下衔接”药品服务体系，制订“六统一”管理制度，实施阶梯式人才培养方案，开展形式多样的药学科普宣传，制订规范化药学服务流程；在结果维度，利用真实数据分析评价，制订药品养护考核方案。通过引入药防融合服务理念，完善与上级医疗机构用药衔接，提升药学人员专业素养水平，不断提高基层药学服务质量。

Abstract:: This study focuses on the connotation-oriented development of pharmaceutical care in community medical institutions. By integrating the characteristics and medication needs of community patients, a smart information platform coupled with a pharmaceutical care system based on the structure-process-outcome framework is explored. In the structure dimension, a smart pharmacy is created, an intelligent medication service information platform is built, and a three-tier management architecture comprising smart pharmacy, pharmaceutical clinic, and service stations is established. In the process dimension, a vertically integrated medication service system is developed, "six-unification" management protocols are formulated, a tiered talent development program is implemented, diversified pharmaceutical science popularization activities are conducted, and standardized pharmaceutical care workflows are established. In the outcome dimension, real-world data analysis and evaluation are employed, and assessment schemes for medication maintenance are developed. By introducing the pharmaco-preventive integration service concept, improving medication linkage with higher-level medical institutions, and enhancing the professional competence of pharmaceutical personnel, the quality of primary-level pharmaceutical care is continuously improved.

参考文献/References:

［1］中共中央国务院.印发《“健康中国2030”规划纲要》［EB/OL］.(2016-10-25)［2025-07-21］.https://www.gov.cn/zhengce/2016-10/25/content_5124174.htm.［2］国家卫生健康委, 国家中医药管理局. 关于加快药学服务高质量发展的意见：国卫医发〔2018〕45号［EB/OL］.（2018-11-21）［2025-02-01］. https://www.gov.cn/gongbao/content/2019/content_5380 378.htm.［3］魏伟，赵新才，张剑萍，等.基于SPO理论的医院抗菌药物管理体系应用探讨［J］.中国卫生质量管理，2024,31(3):28-31.［4］国家卫生健康委，国家中医药局. 关于印发全国基层医疗卫生机构信息化建设标准与规范（试行）的通知：国卫规划函〔2019〕87号［S］.2019.［5］上海市市场监督管理局. 居民电子健康档案应用系统等级评估指南: DB31/T 1552-2025［S］. 2025.［6］金蕾，杨耀芳，汤阳，等. 基于社区医院信息六级平台的非甾体抗炎药门诊用药评价［J］. 中国合理用药探索, 2024, 21 (1): 66-78.［7］张静雯，贾婉莹，梁明杰，等. “临床用药”团体标准在医院麻醉药品标准化管理中的应用与实践［J］. 中国卫生质量管理, 2024, 31 (2): 24-26.［8］刘容吉，左玮，甄健存，等. 《超说明书用药标准》制订与解析［J］. 医药导报，2024，43 (7): 1065-1069.［9］国警月，金伟，郭晨阳，等. 北京地区老年慢性病患者家庭药箱现状及居家药学服务需求调查［J］. 中南药学，2024，22 (11): 2982-2987.［10］李倩,王艺霏,石建伟,等.全科视角下社区健康画像的理论与实践［J］.中华全科医学,2021,19(11):1797-1801.［11］陈家仪，杨耀芳，汤阳，等. 艾司唑仑片与心血管药物合用治疗失眠合并高血压的分析［J］. 甘肃医药, 2024, 43 (4): 350-353，357. ［12］金蕾，杨耀芳，汤阳，等. 突发公共卫生事件期间药防融合工作质量标准的探讨［J］. 中华全科医师杂志, 2024, 23(8): 881-885.

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更新日期/Last Update: 2026-07-15