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国内外药物治疗管理开展现状
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| 篇名： | 国内外药物治疗管理开展现状 |
| TITLE： | |
| 摘要： | 目的：了解国内外药物治疗管理（MTM）的开展现状及药师在该服务中的价值，为我国药学服务的发展提供新思路。方法：通过回顾国内外关于MTM的相关文献研究，对MTM的发展背景、相关概念、核心要素、国外工作模式、实施项目及研究情况、国内发展情况进行论述。结果与结论：MTM是在药学监护实践的基础上发展而来的一种服务策略，包括五大核心要素，主要面对慢性病、使用多种药物以及药费过高的患者，由药师通过面对面或者电话的方式提供。国外MTM服务的工作开展相对较成熟，且已有广泛研究证明该服务在临床、经济和人文等方面的效果。我国政府十分重视老年患者的慢病管理，但最初多以医师和护士开展的管理为主，药师开展的药学服务近5年才逐渐增加。目前国内MTM的相关文献以综述为主，实践内容尚处于初期，效果评价等实证研究欠缺。我国慢病管理的药学服务模式可以借鉴国外MTM模式进行探索和开展。 |
| ABSTRACT： | OBJECTIVE： To investigate the current situation of domestic and overseas medication therapy management （MTM） and the value of pharmacists in this service， to provide new ideas for the development of pharmaceutical care in China. METHODS： By viewing related literatures about MTM at home and abroad， the development background， related concepts， core elements， work pattern， implementation and research status at abroad and development situation at home were reviewed. RESULTS & CONCLUSIONS： MTM is a service strategy that evolves from the practice of pharmaceutical care. It includes five core elements and is mainly provided by pharmacists either face-to-face or using telephone for patients who have chronic disease， use multiple medications and with excessive drug costs. Foreign MTM service is well developed and extensive studies have demonstrated its clinical， economy and cultural effects. Chinese government attaches great importance to the chronic disease management in old patients， which used to be administered mainly by doctors and nurses. And pharmacists’ pharmaceutical care has gradually increased in the past five years. Currently there are a lot of reviews on MTM at home but the practical contents have just started and the empirical studies on the effectiveness evaluation are lacking. Pharmaceutical care model of chronic disease management in China can be explored and carried out learning from foreign MTM model. |
| 期刊： | 2018年第29卷第5期 |
| 作者： | 王可，侯凯旋，闫素英 |
| AUTHORS： | WANG Ke，HOU Kaixuan，YAN Suying |
| 关键字： | 药物治疗管理；药师；药学服务；慢病管理；国内外研究 |
| KEYWORDS： | Medication therapy management； Pharmacist； Pharmaceutical care； Chronic disease management； Research at home and abroad |
| 阅读数： | 1584 次 |
| 本月下载数： | 79 次 |
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