Research On The Current Situation And Countermeasures Of Pharmaceutical Care For Chronic Diseases In Community Pharmacies From The Perspective Of Separation Of Dispensing From Prescription

Under the background of the hierarchical diagnosis and treatment and separation of dispensing from Prescription advocated by Nation,the function of community pharmacies is becoming increasingly perfect.Patients with chronic diseases can choose to buy medicines from community pharmacies independently.The demand for pharmaceutical care for chronic diseases is growing.community pharmacies play an important role in improving the safety,effectiveness and economy of medication for patients with chronic diseases as well as improving the quality of life of patients.Therefore,whether from the needs of patients with chronic diseases or from the level of national policies,it puts forward new requirements and challenges for the pharmaceutical care of chronic diseases provided by community pharmacies.Objective:This paper takes Zhengzhou City as the sample,through the investigation and analysis of the current situation of pharmaceutical care for chronic disease provided by pharmacists in community pharmacies in this area,and the demand of pharmaceutical care for chronic disease in community pharmacies,to explore the challenges faced by community pharmacies in the process of providing pharmacy care for chronic disease,so as to put forward targeted suggestions for community pharmacies to improve the pharmaceutical care ability of chronic diseases and ensure the safety,rationality,effectiveness and economy of medicine use for patients with chronic diseases.Methods:literature search,questionnaire survey and comparative study were used to collect data.Referring to the "Good Supplying Practice" and the guidance documents of the National licensed pharmacist Development Research Center,we formulated the questionnaire on the current situation pharmaceutical care for chronic disease provided by community pharmacies and the demand of pharmaceutical care for chronic disease patients in community pharmacies.We conducted a questionnaire survey in the community pharmacies in Zhengzhou City,through comparing and analyzing the pharmaceutical care mode and current situation of chronic disease management of community pharmacies in developed countries and regions,summarize the experience that can be provided for China's community pharmacies in developing pharmaceutical care for chronic diseases.Results:Pharmacists in 100 pharmacies and 300 patients with chronic diseases were investigated in this research.a total of 101 questionnaires were distributed to pharmacists in community pharmacies,93 valid questionnaires were obtained,300 questionnaires were distributed to chronic patients,288 questionnaires were obtained.Use Excel to input data of valid questionnaire and make descriptive statistical analysis.The survey results show that the pharmacists in the five urban areas of Zhengzhou City have low academic background and are not professional enough;in terms of the completion of pharmaceutical care,the basic pharmaceutical services such as medication guidance and medication explanation are well finished,while the pharmaceutical care such as medication follow-up and provision of chronic disease-related information are not well completed,so the pharmacists fail to fully play their value;through the investigation It was found that the main challenges faced by community pharmacies to providing pharmaceutical care for chronic diseases are the professional quality and service ability of licensed pharmacists need to be improved,relevant personnel and equipment are not insufficient,and patients lack trust in licensed pharmacists of community pharmacies;According to the survey on the demand for pharmaceutical care of the patients with chronic diseases,it is found that the demand for pharmaceutical care provided by the patients with chronic diseases is diversified.the pharmaceutical care received by patients in the process of medicine purchase is mainly based on the detection of basic indicators,medication consultation and explanation.The existing problems in the development of pharmaceutical care for chronic diseases in community pharmacies are that the service level of pharmacists is not high and the professional ability is not enough;the pharmaceutical service projects are not comprehensive and lack of standardized pharmaceutical service process;Medication compliance for patients with chronic diseases is poor and the trust of licensed pharmacists is low?Conclusion:at present,there is a great development space and great potential for community pharmacies to provide pharmaceutical care for chronic diseases.In view of the existing problems,it is suggested to strengthen the top-level design,speed up the legislation,establish the standardized flow-sheet of pharmaceutical care for chronic diseases,strengthen the management of licensed pharmacists,establish and improve the management system of prescription drugs,and enhance the professional ability of licensed pharmacists.strengthen the cooperation with basic medical institutions and the publicity of licensed pharmacists,improve the public awareness and professional image of licensed pharmacists,and promote the quality and level of pharmaceutical service for chronic diseases in community pharmacies.and fully play to the active role of pharmacists in the management of chronic disease medication and scientific and rational medication.Let the patients with chronic diseases receive more comprehensive pharmaceutical care for chronic diseases,and promote the both benefits for community pharmacies and patients with chronic diseases.