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学科主题: 临床医学
题名:
The impact of clinical pharmacy services in China on the quality use of medicines: a systematic review in context of China′s current healthcare reform
作者: Penm, Jonathan1,2,3; Li, Yan4,5; Zhai, Suodi4; Hu, Yongfang4; Chaar, Betty3; Moles, Rebekah3
关键词: Clinical pharmacist ; clinical pharmacy ; pharmaceutical care ; pharmaceutical services ; China
刊名: HEALTH POLICY AND PLANNING
发表日期: 2014-10-01
DOI: 10.1093/heapol/czt067
卷: 29, 期:7, 页:849-872
收录类别: SCI ; SSCI
文章类型: Review
WOS标题词: Science & Technology
类目[WOS]: Health Care Sciences & Services ; Health Policy & Services
研究领域[WOS]: Health Care Sciences & Services
关键词[WOS]: UNITED-STATES HOSPITALS ; MEDICATION ERRORS ; MANAGEMENT ; EVOLUTION ; OUTCOMES ; RATES
英文摘要:

Introduction Recently, China initiated an ambitious healthcare reform aiming to provide affordable and equitable basic health care to all by 2020. To meet these goals, new policies issued by China′s Ministry of Health mandate clinical pharmacy services be integrated into China′s hospitals. This review aims to highlight the impact of clinical pharmacy services on the quality use of medicines in hospitals in China.

Methods Both English and Chinese databases were used. For the English databases, Web of Science, Medline, International Pharmaceutical Abstracts and Embase were searched using the following keywords (`pharmacists′ OR `pharmacy′ OR `pharmaceutical services/pharmaceutical care′) AND (`China′). For the Chinese database, Chinese Biomedical Literature Database on disc was searched using the following keywords (`clinical pharmacist′ OR `clinical pharmacy′ OR `pharmaceutical care′ OR `pharmaceutical services′). Articles were then retrieved from WanFang database and China Knowledge Resource Integrated Database. Results A total of 75 published papers were included in this review. The majority of studies were conducted in the inpatient setting (68%), which included clinical pharmacy interventions such as educating doctors and patients, evaluating and monitoring the implementation of hospital policies and/or reviewing medications on the ward. In the outpatient setting, the majority of studies conducted involved educating patients. Clinical pharmacy services frequently focused on antimicrobials (44%). More than half of these studies employed an administrative intervention alongside the clinical pharmacy service.

Conclusion Clinical pharmacy services in China, with its unique healthcare system and cultural nuances, appear to positively influence patient care and the appropriate use of medications. From the published literature, it is expected that clinical pharmacy services can make a strong contribution to China′s healthcare reform with further governmental and educational support.

语种: 英语
项目资助者: China Studies Centre, University of Sydney ; National key clinical specialty funding, Peking University Third Hospital
WOS记录号: WOS:000343414500005
Citation statistics:
内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/57711
Appears in Collections:北京大学第三临床医学院_期刊论文

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作者单位: 1.Peking Univ, Hosp 3, Beijing 100191, Peoples R China
2.Sydney Hosp, Sydney, NSW 2000, Australia
3.Sydney Eye Hosp, Sydney, NSW 2000, Australia
4.Univ Sydney, Fac Pharm, World Hosp Pharm Res Consortium, Sydney, NSW 2006, Australia
5.Peking Univ, Hlth Sci Ctr, Sch Pharmaceut Sci, Dept Pharm Adm & Clin Pharm, Beijing, Peoples R China

Recommended Citation:
Penm, Jonathan,Li, Yan,Zhai, Suodi,et al. The impact of clinical pharmacy services in China on the quality use of medicines: a systematic review in context of China′s current healthcare reform[J]. HEALTH POLICY AND PLANNING,2014,29(7):849-872.
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