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首页> 外文期刊>The annals of pharmacotherapy >The Future of Health-System Pharmacy: Opportunities and Challenges in Practice Model Change
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The Future of Health-System Pharmacy: Opportunities and Challenges in Practice Model Change

机译：卫生系统药学的未来：实践模式改变的机遇与挑战

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Key factors outside of health-system pharmacy that will shape this sector of the profession in the coming years are (1) the national economy, (2) national politics, (3) the debt of the federal government, (4) global megatrends (including terrorism and economic globalization), (5) health care reform, and (6) trends in the development and use of medicines. These factors will translate into payment cutbacks to hospitals, expanded mandates to improve the quality of health care, increased focus on patient-centered care, more team-based care, and a higher degree of integration across the range of health care settings and providers. In this environment, pharmacists in hospitals and other health systems will have rich opportunities to help improve patient care and institutional sustainability by continuing to move from order-fulfillment and product-preparation functions toward team leadership of drug therapy management. The American Society of Health-System Pharmacists Pharmacy Practice Model Initiative (PPMI) was created to encourage hospital and health-system practice leaders to examine how they deploy their resources (ie, pharmacist time, technician time, and technology) to ensure that the efforts of the pharmacy department are aligned with the most urgent needs of patients and institutions. Key recommendations of the PPMI and evidence about gaps in the provision of drug therapy management services are presented. It is important for every pharmacist and pharmacy technician in health-system practice to understand the imperatives for changing the profession's practice model and to actively pursue appropriate changes in that model.
机译：在未来几年中，将在医疗保健系统药学以外的行业构成这一行业的关键因素是（1）国民经济，（2）国家政治，（3）联邦政府的债务，（4）全球大趋势（ （包括恐怖主义和经济全球化），（5）医疗改革，以及（6）药物开发和使用趋势。这些因素将转化为减少医院付款，扩大授权以提高卫生保健质量，更加注重以患者为中心的卫生保健，更多基于团队的卫生保健以及各种卫生保健机构和提供者之间更高的整合度。在这种环境下，医院和其他卫生系统中的药剂师将有丰富的机会通过继续从履行订单和准备产品的职能转向药物治疗管理的团队领导来改善患者护理和机构的可持续性。美国卫生系统药剂师药学实践模型倡议协会（PPMI）的创建是为了鼓励医院和卫生系统实践领导者检查他们如何部署资源（即，药剂师时间，技术人员时间和技术），以确保努力药房的各个部门都可以满足患者和机构的最紧迫需求。介绍了PPMI的主要建议以及有关药物治疗管理服务提供方面差距的证据。对于卫生系统实践中的每个药剂师和药学技术人员来说，了解改变专业实践模式的必要性并积极追求该模式的适当改变都是很重要的。

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