Investigation of pharmacist-managed clinic in Guangdong and concept of quality management / 中华医院管理杂志

ABSTRACT

Objective To investigate the implementation of pharmacist-managed clinic(PMC) in Guangdong, and to provide reference for quality management of pharmacist-managed clinics. Methods Collection of a list of all medical institutions that have established pharmaceutical clinics in Guangdong province before July 2018. The development of PMCs at these institutions found in the list was investigated by conducting a questionnaire survey via WeChat and telephone interviews. Results 41 questionnaires were completed, of which 40 were valid, accounting for 97.6% . A total of 40 institutions established PMCs, in which 39 were tertiary hospitals(22.5% of the total number of tertiary hospitals in the province), and 1 was level-1 hospital ( 0.26% of the total number of first-class hospitals in the province). The main PMC categories are chronic disease management clinics, followed by anticoagulant/thrombolytic clinics, pregnant and lactating PMC, COPD management clinics, and drug counseling comprehensive clinics. 81.7% of the visiting pharmacists were of head pharmacist qualifications. The average daily outpatient volume of the 25 hospitals were 3-5 patients. The service time was about 10 -60 minutes per patient in most cases. Their common causes for consultation were adverse drug reactions, drug interactions or incompatibility, drug usage and dosage, drug adjustment and drug selection. Only 9 institutions established a management system, working process and standardized medical records for medication therapy management. Conclusions PMC is an important part of medical services. To ensure its service quality, we should learn from the concept of three-level management of medical quality, and perfect the construction of quality management system of pharmaceutical outpatient clinics.