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Opinions on accelerating the high-quality development of pharmaceutical services

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Health and health commission (health and family planning commission) and administration of traditional Chinese medicine of all provinces, autonomous regions, municipalities directly under the central government and xinjiang production and construction corps:New era for the further implementation of xi jinping, the Chinese characteristic socialism and the party's 19 big spirit, promote the implementation of the strategy for the health of China further transform pharmaceutical service mode, improve the level of pharmaceutical care, meet people's growing health care health needs, now will accelerate the development of pharmaceutical care quality put forward the following opinions:I. further enhance the awareness of the importance of pharmaceutical servicesPharmaceutical service is an important part of medical institutions' diagnosis and treatment activities, and an important link to promote rational drug use, improve medical quality and ensure the safety of patients' drug use. Pharmacists are important medical personnel providing pharmaceutical services, and are irreplaceable professional teams participating in clinical drug treatment and achieving the goal of safe, effective and economic drug use. Pharmacists provide high-quality pharmaceutical services for the people, which is an integral part of the health and health system to provide all-round and full cycle health services, and also an inevitable requirement for the comprehensive establishment of high-quality and efficient medical and health service system. Health administrative departments at all levels (including the competent department of traditional Chinese medicine, hereinafter the same) and various types of medical institutions at all levels must attach great importance to pharmaceutical care, adapt to the new requirements of the new situation, speed up the pharmaceutical care mode transformation, strengthen pharmacists team construction, explore the building to meet the needs of the masses of the people's pharmacy service system, promote the development of high quality pharmaceutical care in the new period.2. Promote the construction of hierarchical diagnosis and treatment and establish a comprehensive pharmaceutical service system(1) overall planning and hierarchical diagnosis and treatment are promoted. Administrative departments of health at all levels and all kinds of medical institutions at all levels should consider the overall planning of pharmaceutical services and incorporate them into the overall work arrangement in the construction of medical consortium and promotion of hierarchical diagnosis and treatment. We should strengthen the construction of the pharmaceutical service system in medical combinations, determine the positioning of pharmaceutical services in different medical institutions, strengthen training and guidance, and improve the overall capability and level of pharmaceutical services in medical combinations.(2) strengthen the linkage of drug supply catalogues. With the focus on promoting the development of a hierarchical medical system and strengthening the grassroots level, we will strengthen the connection between the use of drugs by medical institutions within the medical union, gradually realize the sharing of drug resources within the region, ensure the demand for drugs for grassroots diagnosis and treatment and two-way referral, and make it easier for people to get medicines nearby. We will encourage urban medical groups and county-level medical communities to establish drug linkage management mechanisms, ensure adequate supply of essential drugs, and promote the implementation of a unified drug supply catalog, procurement and distribution on the basis of full allocation and priority use of essential drugs.(3) promoting pharmaceutical services to the grassroots level. Explore the establishment of pharmaceutical service standards or norms in medical combinations, build a unified drug supply knowledge base, prescription audit rule base, to achieve the standardization of pharmaceutical service and drug information in medical combinations. The leading medical institutions should strengthen the guidance to the primary medical institutions, improve the level of rational drug use through advanced training, counterpart support, remote consultation and other ways, especially the ability and level of providing drug use guidance for the patients with chronic diseases who sign up for services, and realize the continuous and homogenization of medical and internal pharmaceutical services.(iv) explore long-term prescription management of chronic diseases. The health administrative departments at all levels and the medical insurance departments are encouraged to formulate and issue long-term prescription management policies for chronic diseases, and specify the chronic diseases catalog, medication scope, management system, safety notice and other requirements that can be issued long-term prescriptions. For patients with chronic diseases who meet the requirements after evaluation, relevant drugs can be issued within 12 weeks at a time. The first long-term prescription must be made at a physical medical facility. At the time of drug deployment, "education sheet for patients with long-term prescription of chronic diseases" shall be issued together with the drug to inform patients of drug safety information such as drug storage, medication guidance, condition monitoring and uncomfortable follow-up. Pharmacists are encouraged to participate in the signing service of family doctor teams, and provide regular follow-up, medication guidance and other services for patients with long-term prescriptions.Iii. Accelerate the transformation of pharmaceutical services and provide high-quality pharmaceutical services(v) change the pharmaceutical service model. Deepen the reform of medical health system to carry out the deployment requirements, further implementation of pharmaceutical care mode of "two changes", that is, from "for the center with drug" into "patient-centered", from "to ensure drug supply as the center" into "on the basis of ensuring drug supply to focus on strengthening pharmaceutical professional technical services and participating in clinical medication as the center". By changing the mode, we can further fulfill the responsibilities of pharmacists, improve service ability, and promote pharmaceutical services to be close to patients, clinical and society.(6) strengthen the construction of pharmaceutical departments. Administrative departments of public health at all levels should strengthen the construction and management of pharmaceutical departments of medical institutions, and implement the basic standards for pharmaceutical departments of second - and third-level general hospitals (for trial implementation) and basic standards for hospital traditional Chinese medicine dispensaries. Adhere to the public welfare of public hospital pharmacy, public hospitals can not contract, lease pharmacy, not to the for-profit enterprise trusteeship pharmacy. Medical institutions should strengthen drug inventory management and establish a drug reserve system for shortage, and ensure 2-3 months 'drug supply for drugs prone to shortage. Monitor and report the shortage of drugs according to the requirements, and ensure the demand of clinical drugs.Promoting rational clinical use of drugs. Strengthen prescription audit and prescription reviews, encourage the health administrative departments at all levels based on the drug quality control center and other groups, in this area, review the prescription of medical institutions and will review the results into the performance evaluation index of medical institutions, and physician ChuFangQuan awarded, title evaluation, regular examination and pharmacist prescription audit quality evaluation. We will strengthen the monitoring, evaluation and early warning of clinical drug use, and monitor, analyze and evaluate the safety, effectiveness and economy of clinical drug use. Timely measures shall be taken, in accordance with laws and regulations, to deal with the unreasonable use of drugs, concentrated problems or prominent drug varieties. Encourage the use of generic drugs that have been evaluated consistently for quality and efficacy.Iv. Strengthen the construction of pharmacists and fully mobilize their enthusiasm(8) strengthen the training of pharmaceutical personnel. Each medical institution should scientifically set up pharmaceutical posts according to its functional positioning, diagnosis and treatment service quantity and other factors, and increase the staffing of pharmaceutical personnel so that the number of personnel can meet the needs of pharmaceutical services. Administrative departments of health at all levels and medical institutions should continuously carry out pharmaceutical service training, so that all pharmaceutical personnel can master the basic skills of pharmaceutical service and enhance their service capacity. To strengthen the cultivation of pharmaceutical talents such as clinical pharmacy academic leaders and key young pharmacists; We will support cooperation between medical institutions, colleges and universities, and trade associations to develop targeted and forward-looking training of high-level clinical pharmaceutical talents.(9) give full play to the role of clinical pharmacists. All medical institutions should thoroughly implement the clinical pharmacist system and provide clinical pharmacists according to the regulations. To gradually achieve full coverage of pharmaceutical care, clinical pharmacists should provide personalized guidance on rational drug use for outpatients and inpatients. Clinical pharmacists should be involved in drug treatment and consultation to provide multidisciplinary diagnosis and treatment services for complicated diseases such as complicated infectious diseases and malignant tumors. To explore and implement inter-hospital consultation of pharmacists to solve the problems of drug treatment for difficult and complicated patients. Medical institutions are encouraged to open clinics for consultation on rational drug use or drug treatment and management, focusing on patients suffering from multiple diseases and using multiple drugs.Improve the performance appraisal management mechanism. Establish a clinical demand-oriented performance appraisal system in line with the characteristics of pharmaceutical services, and link it with the salary distribution, job recruitment and promotion of professional titles of pharmacists, so as to improve the treatment level of pharmacists and stabilize and strengthen the ranks of pharmacists. We should ensure that people are paid more for their hard work and good performance, and that the distribution of income should be skewed toward those with heavy tasks and high quality work. Change the trend of only papers, more stimulate pharmacists to serve patients, serve the enthusiasm of clinical. We will encourage all localities to effectively reflect the value of pharmaceutical services in deepening the reform of medical service prices, properly set up charging programs for pharmaceutical personnel, and adopt various ways to compensate for the necessary costs of pharmaceutical services.V. actively promote the healthy development of "Internet + pharmaceutical services"Strengthen the standardized management of electronic prescriptions. We will implement regulations and normative documents such as the administrative measures on prescriptions, the administrative provisions on pharmaceutical affairs in medical institutions, the regulations on prescription review in medical institutions, and the administrative measures on Internet diagnosis and treatment (trial), and strengthen the administration of electronic prescriptions. To strengthen the supervision of key links in the process of electronic prescription circulation on the Internet, the personnel in charge of prescription review, deployment and verification must adopt the way of electronic signature or information system trace to ensure the traceable prescription, and implement unified supervision online and offline.(12) explore the Internet and remote pharmaceutical services. According to the "Internet hospital management measures (trial)" and "telemedicine service management standards (trial)", qualified Internet hospitals can explore the opening of specialized online pharmaceutical consulting clinics, guide patients to use medicine in a scientific and reasonable way, provide drug knowledge education, and solve the problems encountered in the use of drugs. We encourage the use of artificial intelligence and other technological means to provide remote pharmaceutical services to grassroots communities. If conditions permit, we may explore the establishment of regional prescription review centers and strengthen the in-service and after-service supervision of prescription dispensing.(13) accelerate the connectivity of pharmaceutical service information. We will continue to strengthen the development of electronic medical records in medical institutions, and gradually realize real-time access, mutual recognition and sharing of in-vivo prescriptions in medical combinations. We will encourage the inclusion of pharmaceutical services in the construction of regional health information platforms, and gradually connect pharmaceutical services with medical services, medical security, drug supply and other data, so as to facilitate the sharing of data among departments, regions and industries and promote the sharing and application of pharmaceutical service information.(14) explore and promote the "wisdom pharmacy" of the hospital. Make full use of information means, to achieve seamless connection between the prescription system and the pharmacy dispensing system, shorten the waiting time for patients to take medicine. By opening WeChat official account and patient client, it is convenient for patients to inquire prescription information, drug usage and dosage, matters needing attention, etc. To explore and carry out regular reminder for patients with chronic diseases, medication follow-up, drug restructuring and other work, the focus is on the elderly patients with multiple chronic diseases at the same time, to ensure the safety of medication.Administrative departments of health at all levels and medical institutions at all levels should conscientiously implement the work arrangements of the opinions, comprehensively improve the level of pharmaceutical services, and promote the high-quality development of pharmaceutical services. The state health commission and the state administration of traditional Chinese medicine will strengthen work guidance, supervision and inspection, and notify, criticize and track and rectify medical institutions that fail to perform their duties in drug administration or violate relevant regulations.State administration of traditional Chinese medicine21, 2018