Saturday, July 28, 2012

Health newspaper: Only have a regulation far from enough

Health newspaper: Only have a regulation far from enough
Yan Guo enters ' Disease accuses of personnel) On March 30, Ministry of Public Health, State Administration of Traditional Chinese Medicine, General Logistics Department Ministry of Public Health jointly issue " medicine thing regulation of medical organization ". " regulation " proposes, the medical organization should allocate the clinical pharmacist, clinical pharmacists of tertiary hospital are no less than 5, second the intersection of hospital and clinical pharmacist no less than 3, pharmacy professional and technical personnel 8% less than a hygiene professional and technical personnel of organization. And set up clinic composed of doctor, clinical pharmacist and nurse and treat the group, launch clinically and reasonably and work with medicine. (" health newspaper " of March 31) The clinical pharmacist runs through every link correlated with using medicine in the hospital, including assisting the doctor to make individualizedly for the medicine scheme, offer pharmacy service for patient and consult and monitor bad reaction,etc. that uses medicine and takes place in the course, have played an indispensable role in ensuring the security of using medicine, improving the level of using medicine rationally. But according to investigation, since Ministry of Public Health issued " interim regulation on the management of the medicine thing of medical organization " in 2002, quite a few of medical organizations have not taken " regulation " seriously, it is a blank that many and local second medical organization clinical pharmacist makes, professional and technical personnel's proportion of pharmacy is very low too, what health clinics in towns and townships is it even more? This kind of phenomenon is worth the health authorities at all levels think deeply about! " temporary provisions " seem " Pale " ,The key lies in " temporary provisions " had no reply, " uploaded and assigned " that the Ministry of Health at all levels only stayed in the file ,Send the documents only, have, make corresponding implementing regulation and punish, reward measure to file, check and just do the assume presentable looks too at ordinary times, " scratch the surface " ,Superintend and check, guide and do one's best, cause many hospitals to stick to one's old way, does not carry out " temporary provisions ". In addition, hospital administrator, clinician have not " washed the brain " ,The outmoded notion has not changed, think the pharmacist's work is only limited to the dispensaries, drug storages, is clinician's business how clinic uses medicine and drug response is observed. Hardly realize, the clinician is not so good as a pharmacist to the knowledge in respects such as pharmacology,etc. far, the clinician can't replace the pharmacist's work. The medicine bad reaction, incident able to bear the medicine phenomenon and even done harm to patient's health in the medicine have been of common occurrence in the past few years, the ones that lack the pharmacist and choose the medicine to the clinician rationally on clinic in because a lot of situations instruct correctly and to the guidance which the patient used medicine rationally. It is clinical for pharmacist to come into, to a great extent can prevent the intersection of clinician and the intersection of compatibility and unreasonable, administration under prescribed medicine from to the ill, use medicine bad situation such as being excessive take place; Launch the medicine bad reaction monitor and appear in the newspaper, to guaranteeing the the masses of patient's administration security, it is undoubtedly a good news. Nowadays, departments such as Ministry of Public Health,etc. issue " regulation ", requires the medical organization to allocate the clinical pharmacist of the corresponding quantity, and full-time job participate in clinical drug therapy work, go on the administration educate to patient, instruct the patient how to use medicine safely. I wish this " regulation " can be in full flourish in all parts, really fulfilled. Not only the above- second -class medical organization pharmacist enters to want to normalize clinically, but also first class the health clinics in towns and townships, clinic, community health Center (station) of the following Clinical application should let the pharmacist participate in the comment, guidance frequently too, there is no harm in letting the reputable pharmacist of the hospital of higher level go to the grass-roots unit to guide medicine thing business lecture and pertinence to clinician and pharmacist at the basic level at the basic level regularly. How to let the pharmacist really come into clinically, I think: First, all parts should direct against " regulation ", set up and amplify to the clinical pharmacist of medical organization and manage the implementing regulation, classify, grade not rigid regulation clinical pharmacist's quantity and pharmacy professional and technical personnel, implement " a ticket is rejected " . Second, strengthen administrator, medical worker, the public of every medical organization to the understanding allocating clinical pharmacist's necessity, importance through the various forms, build a pharmacist and enter the clinical good public opinion atmosphere. Third, the health authorities at all levels should list the clinical pharmacist's institutional improvement in the management by objectives of the hospital and examine and appraise the system, classify as the hospitals at all levels " Leader " The project, to phenomenon administration and economic punishment in violation of rules and regulations, and circulate a notice of criticism. Fourth, strengthen and check examining, social opinion poll. The health authorities, food medicines supervision departments at all levels will pass and observe publicly and investigate privately frequently, see every clinical department have clinical pharmacist follow, make the rounds of the wards, have pharmacist guide, select medicine, administration record at the case history; Whether the clinical pharmacist follows medicines to monitor the patient; Whether the hospital carries on the credit investigation, social satisfaction investigation to the clinical pharmacist every year, see the clinical pharmacist and fill a post with credit. Only in this way, could let pharmacist come into clinical really, could guarantee the intersection of patient and the intersection of administration and result and use medicine safe.

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