发展药师职业价值—美国药师在中国的体会.ppt
1.药剂师的定义是什么？药剂师的定义是什么？2.一一位药剂师现阶段能够提供什么样的服务呢？位药剂师现阶段能够提供什么样的服务呢？3.美美国的情况国的情况和和中国有什么区别呢中国有什么区别呢(我的体会我的体会)a)教教育育b)医疗服医疗服务机会务机会c)职业发展职业发展4.如何改善现阶段药师的职业状态？如何改善现阶段药师的职业状态？2023/4/152发展药师职业价值2023/4/153发展药师职业价值你怎么理解药剂师这个职业？你怎么理解药剂师这个职业？他他们只发药。们只发药。在柜台后面的那个人。在柜台后面的那个人。你为什么给我打电话呢。你为什么给我打电话呢。你只把药给我，行吗？。你只把药给我，行吗？。2023/4/154发展药师职业价值2023/4/155发展药师职业价值2023/4/156发展药师职业价值协协同监护模式同监护模式(Collaborative practice)药剂师提供药剂师提供的的用药教育和指导用药教育和指导预防性预防性保健服务保健服务/指导指导(Health&Wellness)药师提供药师提供用用药重整药重整(med reconciliation)药师提药师提供供药物治疗管理药物治疗管理 (MTM)顾问药师顾问药师(Consultant Pharmacist)参与参与临床多学科查房临床多学科查房发发药品药品药学实践研究药学实践研究(Practice Research)2023/4/159发展药师职业价值2023/4/15发展药师职业价值101.Chisholm-Burns MA,Kim Lee J,Spivey CA,et al.US pharmacists effect as team members on patient care:systematic review and meta-analyses.Med Care.2010;48(10):923-933.2.Hall D,Buchanan J,Helms B,et al.Health care expenditures and therapeutic outcomes of a pharmacist-managed anticoagulation service versus usual medical care.Pharmacotherapy.2011;31(7):686-694.3.Smith MC,Boldt AS,Walston CM,Zillich AJ.Effectiveness of a pharmacy care management program for veterans with dyslipidemia.Pharmacotherapy.2013;33(7):736-743.4.Bunting BA,Cranor CW.The Asheville Project:long-term clinical,humanistic,and economic outcomes of a community-based medication therapy management program for asthma.J Am Pharm Assoc(2003).2006;46(2):133-147.5.Kraemer DF,Kradjan WA,Bianco TM,Low JA.A randomized study to assess the impact of pharmacist counseling of employer-based health plan beneficiaries with diabetes:the EMPOWER study.J Pharm Pract.2012;25(2):169-179.6.Santschi V,Chiolero A,Burnand B,Colosimo AL,Paradis G.Impact of pharmacist care in the management of cardiovascular disease risk factors:a systematic review and meta-analysis of randomized trials.Arch Intern Med.2011;171(16):1441-14537.Kucukarslan SN,Hagan AM,Shimp LA,Gaither CA,Lewis NJ.Integrating medication therapy management in the primary care medical home:A review of randomized controlled trials.Am J Health Syst Pharm.2011;68(4):335-345.8.Bennett MI,Bagnall AM,Raine G,et al.Educational interventions by pharmacists to patients with chronic pain:systematic review and meta-analysis.Clin J Pain.2011;27(7):623-630.2023/4/1511发展药师职业价值1.医生给一个3kg 重4个月大的宝宝开了处方：Cefaclor (头孢克洛头孢克洛)10mg 口服3次/天2.护士要给病人药，不太清楚 Calcium Gluconate (葡萄糖酸钙葡萄糖酸钙)和 Sodium Glycerophosphate(甘甘油磷酸钠油磷酸钠)是否可以经过三通给药.3.一位67岁的女性患者的处方：Levofloxacin(左氧氟沙星左氧氟沙星)500mg 口服一次一片，1次/天(医院获得性肺炎)Zolpidem(唑吡坦唑吡坦)10mg 口服一次一片，2次/天，睡前吃2023/4/1512发展药师职业价值2023/4/1513发展药师职业价值差别差别美国美国中国中国教育教育药学博士(Pharm D)药师实习方案(规培)PGY1(全科)PGY2(专科)FellowshipPGY 3?药学专科认证(BCPS,BCACP,BCOP,CGP,etc)讨论。药师服务药师服务用药指导用药指导预防性保健服务预防性保健服务用药重整用药重整药物治疗管理药物治疗管理 (MTM)讨论。2023/4/1514发展药师职业价值差别差别美国美国中国中国职业发展职业发展学会支持APHAAMCPACCPASCPNACDS药学生学会会议和集体活动讨论2023/4/1515发展药师职业价值2023/4/1516发展药师职业价值中中国的人口老龄化问国的人口老龄化问题题委员会认证的老年病药剂师委员会认证的老年病药剂师 (CGP)慢性慢性病的问题病的问题委员会认证的门诊药师委员会认证的门诊药师(BCACP)癌癌症患者的问题症患者的问题委员会认证的肿瘤药剂师委员会认证的肿瘤药剂师(BCOP)参与临床多学科查房参与临床多学科查房,等等等等委员会认证的药物治疗专家委员会认证的药物治疗专家(BCPS)2023/4/1517发展药师职业价值 改善改善药学课程设置和安排药学课程设置和安排 推推进进药师培训和专科认证的过程药师培训和专科认证的过程 追求追求药师认证的身份药师认证的身份 支持支持你的职业你的职业2023/4/15发展药师职业价值181.Chisholm-Burns MA,Kim Lee J,Spivey CA,et al.US pharmacists effect as team members on patient care:systematic review and meta-analyses.Med Care.2010;48(10):923-933.2.Hall D,Buchanan J,Helms B,et al.Health care expenditures and therapeutic outcomes of a pharmacist-managed anticoagulation service versus usual medical care.Pharmacotherapy.2011;31(7):686-694.3.Smith MC,Boldt AS,Walston CM,Zillich AJ.Effectiveness of a pharmacy care management program for veterans with dyslipidemia.Pharmacotherapy.2013;33(7):736-743.4.Bunting BA,Cranor CW.The Asheville Project:long-term clinical,humanistic,and economic outcomes of a community-based medication therapy management program for asthma.J Am Pharm Assoc(2003).2006;46(2):133-147.5.Kraemer DF,Kradjan WA,Bianco TM,Low JA.A randomized study to assess the impact of pharmacist counseling of employer-based health plan beneficiaries with diabetes:the EMPOWER study.J Pharm Pract.2012;25(2):169-179.6.Santschi V,Chiolero A,Burnand B,Colosimo AL,Paradis G.Impact of pharmacist care in the management of cardiovascular disease risk factors:a systematic review and meta-analysis of randomized trials.Arch Intern Med.2011;171(16):1441-14537.Kucukarslan SN,Hagan AM,Shimp LA,Gaither CA,Lewis NJ.Integrating medication therapy management in the primary care medical home:A review of randomized controlled trials.Am J Health Syst Pharm.2011;68(4):335-345.8.Bennett MI,Bagnall AM,Raine G,et al.Educational interventions by pharmacists to patients with chronic pain:systematic review and meta-analysis.Clin J Pain.2011;27(7):623-630.2023/4/1519发展药师职业价值2023/4/15发展药师职业价值21
