中国临床药学杂志

目的 构建“互联网+临床药学”中药药学服务模式并分析其应用效果，以提升中药药学服务质量。方法 基于传统医学中心构建以患者为中心、以中药临床药学和智慧中药为两翼的“互联网+临床药学”中药药学服务模式，并于2022年起实施。抽取2021年1月至2023年3月的3 600份处方进行点评，并评估患者对“互联网+临床药学”中药药学服务模式的满意度、处方脱落率、处方配送量和外部差错情况。结果 2022和2023年不合理处方率与2021年比较差异均有统计学意义（P<0.01）。患者综合满意度达96.02%。2023年处方脱落率为0.26%,2023年配送处方量较2022年增长53.68%，外部差错例数由2021年的7例降至2023年的0例。结论 “互联网+临床药学”中药药学服务模式能够提升中药药学服务质量，提高患者满意度，增强中药师在中医药诊疗过程的价值感。

AIM To explore the mode of traditional Chinese medicine(TCM) pharmaceutical service of “Internet plus Clinical Pharmacy”, aiming to improve TCM pharmaceutical service quality. METHODS Since 2022, a patientcentered ''Internet plus Clinical Pharmacy'' pharmaceutical service model had been developed and implemented, featuring TCM clinical pharmacy and smart TCM as its 2 main components. A review of 3600 TCM prescriptions from January 2021to March 2023 was conducted to evaluate patient satisfaction with the pharmaceutical service model of ''Internet plus Clinical Pharmacy'', prescription abandonment rate, prescription delivery volume, and external error rates. RESULTS The rate of inappropriate prescriptions in 2022 and 2023 showed statistically significant decreases compared to 2021(P<0.01). Patient overall satisfaction reached 96.02%. The prescription abandonment rate for TCM in 2023 was 0.26%,and the volume of TCM prescriptions delivered in 2023 increased by 53.68% compared to 2022. The external error rate of dispensing decreased from 7 cases in 2021 to 0 in 2023.CONCLUSION The "Internet plus Clinical Pharmacy" TCM pharmaceutical service model can improve the quality of Chinese medicine service, increase patient satisfaction, and enhance the value of Chinese pharmacists in the Chinese medicine diagnosis and treatment process.