摘要目的 了解我国医疗机构拓展药学服务内涵情况.方法 于2018年6—10月,收集全国《进一步改善医疗服务行动计划(2018—2020年)》中十大医疗创新服务之一的"拓展药学服务新领域"案例,共196个.对案例进行主题词词频统计,得到当前医院在药学服务方面的热点.对相关数据进行描述性分析.结果 196个案例涵盖的药学服务内容有23项,其中包括3项传统的"保障药品供应"服务,即药品供应、药品调剂和药品储存管理; 1项中药供应服务,即中药代煎及配送; 19项药学专业技术服务,即处方(医嘱)审核、患者教育和指导、处方(医嘱)点评等.结论 药学服务的内涵正在迅速拓展.应进一步提升药师职业价值,建立药学人才培养方案,建立药学服务激励机制,推进"以患者为中心"药学服务的快速发展.

abstractsObjective To understand the extensions of pharmaceutical care at medical institutions in China.Methods From June to October 2018, 196 cases were collected regarding " exploring new areas of pharmaceutical care" , which ranks one of the ten innovative medical services under China Healthcare Improvement Initiative(2018-2010). By means of statistics on the frequency of the subject words in the cases, the authors identified hotspots of these hospitals in this regard, and used descriptive analysis to study the data. Results The 196 cases covered 23 items of pharmaceutical care, including three traditional" guaranteed drug supply" services, i.e., drug supply, drug dispensing and drug storage management; one traditional Chinese medicine supply service, namely decoction and delivery of traditional Chinese medicine decoction; 19 pharmaceutical professional technical services, namely, prescription(doctor′s advice)review, patient education and guidance, and prescription ( doctor′s advice) comment among others. Conclusions The connotation of pharmaceutical care is extending rapidly. Therefore we should enhance the professional value of pharmacists, establish training programs for pharmaceutical talents, establish incentive mechanism for pharmaceutical care, and promote the rapid development of patient-centered pharmaceutical care.