药学服务与研究
藥學服務與研究
약학복무여연구
PHARMACEUTICAL CARE AND RESEARCH
2007年
2期
81-84
,共4页
医学肿瘤学%药剂师%给药系统医院%抗肿瘤联合化疗方案%药学服务
醫學腫瘤學%藥劑師%給藥繫統醫院%抗腫瘤聯閤化療方案%藥學服務
의학종류학%약제사%급약계통의원%항종류연합화료방안%약학복무
medical oncology%pharmacists%medication systems,hospital%antineoplastic combined chemotherapy protocols%pharmaceutical services
香港医院管理局通过44家公立医院,向全港市民提供医疗保健服务,其中6家医院有肿瘤学中心.目前已有4家肿瘤学中心由药剂部提供100%的化疗药物配置服务,仅一家中心雇用护士提供该服务.6家肿瘤学中心的工作人员数量不等,而且有些员工人数与工作量不相称.香港的肿瘤学药剂师仍处于机械式工作状态,他们只有足够时间从事日常的药品调剂工作,没有时间深入临床药剂的研究,更加没有机会参与日常病房的巡查工作.通常他们根据轮转式值勤表上班,该模式妨碍了药剂师提高专业水平和技能.伊利沙伯医院(QEH)创新地将药剂师从该模式中解脱出来,以改善工作体系,保证工作质量,加强与医生的联系以及培训专门调配化疗药物的药剂师.又将全静脉营养输液(total parenteral nutrition)生产系统全面自动化,允许药剂师重新投入化疗药物配置服务等工作.标准化的工作制度使得生产更加合理化,"剂量分组"方案提高了工作效率.药剂师还参与了医院的化疗药物安全监管委员会,从而使药剂师意识到化疗药物配置服务存在的职业风险.尽管伊利沙伯医院药剂部在该领域有所突破,但是通往临床肿瘤药学的道路仍然是漫长而曲折的.
香港醫院管理跼通過44傢公立醫院,嚮全港市民提供醫療保健服務,其中6傢醫院有腫瘤學中心.目前已有4傢腫瘤學中心由藥劑部提供100%的化療藥物配置服務,僅一傢中心僱用護士提供該服務.6傢腫瘤學中心的工作人員數量不等,而且有些員工人數與工作量不相稱.香港的腫瘤學藥劑師仍處于機械式工作狀態,他們隻有足夠時間從事日常的藥品調劑工作,沒有時間深入臨床藥劑的研究,更加沒有機會參與日常病房的巡查工作.通常他們根據輪轉式值勤錶上班,該模式妨礙瞭藥劑師提高專業水平和技能.伊利沙伯醫院(QEH)創新地將藥劑師從該模式中解脫齣來,以改善工作體繫,保證工作質量,加彊與醫生的聯繫以及培訓專門調配化療藥物的藥劑師.又將全靜脈營養輸液(total parenteral nutrition)生產繫統全麵自動化,允許藥劑師重新投入化療藥物配置服務等工作.標準化的工作製度使得生產更加閤理化,"劑量分組"方案提高瞭工作效率.藥劑師還參與瞭醫院的化療藥物安全鑑管委員會,從而使藥劑師意識到化療藥物配置服務存在的職業風險.儘管伊利沙伯醫院藥劑部在該領域有所突破,但是通往臨床腫瘤藥學的道路仍然是漫長而麯摺的.
향항의원관리국통과44가공립의원,향전항시민제공의료보건복무,기중6가의원유종류학중심.목전이유4가종류학중심유약제부제공100%적화료약물배치복무,부일가중심고용호사제공해복무.6가종류학중심적공작인원수량불등,이차유사원공인수여공작량불상칭.향항적종류학약제사잉처우궤계식공작상태,타문지유족구시간종사일상적약품조제공작,몰유시간심입림상약제적연구,경가몰유궤회삼여일상병방적순사공작.통상타문근거륜전식치근표상반,해모식방애료약제사제고전업수평화기능.이리사백의원(QEH)창신지장약제사종해모식중해탈출래,이개선공작체계,보증공작질량,가강여의생적련계이급배훈전문조배화료약물적약제사.우장전정맥영양수액(total parenteral nutrition)생산계통전면자동화,윤허약제사중신투입화료약물배치복무등공작.표준화적공작제도사득생산경가합이화,"제량분조"방안제고료공작효솔.약제사환삼여료의원적화료약물안전감관위원회,종이사약제사의식도화료약물배치복무존재적직업풍험.진관이리사백의원약제부재해영역유소돌파,단시통왕림상종류약학적도로잉연시만장이곡절적.
In Hong Kong, health care services are provided by the Hospital Authority through 44 public hospitals. Among them six have oncology center. At present four centers provide 100% cytotoxic drug reconstitution service by the pharmacy and only one employs nurses for the service. Among the six centers, staff number varies and is not commensurate with its workload. Oncology pharmacists in Hong Kong are still heavily engaged in production. They are usually involved in daily reconstitution routine and can take up minimal clinical activities. None of them does ward rounds regularly. Usually they work on rotational roster which hinders professional development and specialization. The Queen Elizabeth Hospital (QEH) started to free up pharmacists to improve system of work, assure quality of work, liaise with doctors and train staff. Total parenteral nutrition (TPN) production automation allows redeployment of staff for the reconstituti service. Standardized regimens were developed to streamline productions and "dose banding" scheme boosts up production efficiency. The pharmacist is also freed up to participate in hospital safety committee, bringing awareness of occupational risks. Despite these breakthroughs in the QEH Pharmacy, the road towards clinical and ward-based oncology pharmacy is still long and winding.
