(1) Organization and management. Family pharmaceutical services should be included in the management of family doctor contract service in this institution, and the contents of pharmaceutical services should be clearly defined in the family doctor contract service agreement, which should be implemented by the pharmaceutical department.
(2) Personnel requirements. Pharmacists engaged in family pharmaceutical services in primary medical and health institutions should be included in the management of family doctors' contracting team, have the qualifications of pharmacists and above professional and technical positions, and have 2 years or above experience in pharmaceutical services.
(3) Software and hardware equipment. Basic medical and health institutions should be equipped with necessary hardware and software equipment, such as service equipment, pharmaceutical information software, reference books, protective equipment, etc. , to carry out family pharmaceutical services. In addition, according to the needs of pharmaceutical services, it can be equipped with medicine dispensing boxes and pharmaceutical teaching AIDS.
Grass-roots medical and health institutions should use information technology to provide support for the development of family pharmaceutical services, establish family patient medication files, record and summarize drug treatment-related problems, and ensure the traceability of the whole process.
(1) service object. The object of family pharmaceutical service should be family patients who have signed contracts with family doctors, including patients with chronic diseases, patients with repeated visits, patients with multiple types of combined drugs, patients with special populations, etc.
(2) Work content. The service content at least includes the following aspects:
1. Assess patients' needs for drug treatment at home: The assessment basis includes patients' gender, age, number of diseases, physical condition (including body mass index, consciousness and drug complete swallowing ability), allergic history, history of adverse drug reactions, annual visits, types of drugs used and drug compliance.
Whether the drugs used contain drugs requiring special routes of administration and/or high warning drugs, whether there are any major drug adjustments in the near future, whether there are many drugs left at home, whether there is a risk of expired drugs, etc. Pharmacists shall, according to the evaluation results, formulate a pharmaceutical care plan for patients at home.
2. Preparation and production of drug list: Pharmacists can assist in the preparation and production of drug list for patients who have seen doctors for many times and patients with many kinds of drugs.
3. Medication consultation: When patients at home have doubts about the drugs used, pharmacists should provide medication consultation services.
4. Medication education: Pharmacists should understand patients' medication compliance at home and educate patients on the purpose, usage, dosage and precautions of drugs. Please refer to the Service Specification for Medication Education in Medical Institutions.
5. Sorting out the family medicine box: Pharmacists can guide patients in need to clean up the family medicine box, pay attention to the validity period, characteristics and storage conditions of drugs at home, provide service guidance for patients at home to sort out and store drugs, and clean up expired or deteriorated drugs.
6. Adverse drug reactions screening: pharmacists inquire and screen patients' commonly used adverse drug reactions at home.
7. Drug interaction screening: Pharmacists can judge whether there are drug interactions by sorting out the drugs used in patients' homes.