In 2021, the “Guiding Opinions on Establishing and Improving the “Dual Channel” Management Mechanism for Drugs Negotiated by National Medical Insurance” will be issued, and pharmaceutical services and precision medicine have become hot topics in the industry. Recently, Cui Shushu, president of Guangzhou Medical University Affiliated Cancer Hospital, recently said in the client column of Minhao Doctor that the hospital should change its pharmacy service model in a timely manner to further improve the level of pharmacy service.
“In recent years, the field of medicine in my country has developed rapidly. In the past, standardized medication was carried out according to relevant guidelines, but now the pathological diagnosis of different diseases is different, and the molecular diagnosis and classification are more detailed.” Cui Shu said, In the period of molecular pathology, different types of diseases have different drug targets and different treatment plans. We have entered the era of precise treatment.
“In the traditional pharmacy management model, the main function of the hospital pharmacy department is to ensure the supply of medicines, while in the ‘dual-channel’ management model, its function is adjusted to ensure the supply of medicines and pharmacy technical services. Some drugs that are within the scope of ‘dual channels’ and have not been included in the medical insurance catalogue require the function of the hospital pharmacy department to strengthen the review of drug prescriptions.” Cui Shu said.
“Under the new situation, it is of great significance for hospitals to optimize their pharmacy services.” Based on this, Cui Shu put forward the following suggestions: First, it is suggested that the internal management of the hospital should focus on the pharmacy that “focuses on guaranteeing drugs”. The management model should be changed to “centered on clinical medication”; second, it is recommended that the hospital pharmacy department give full play to the role of publicity, guidance and supervision to ensure the implementation of the “National Essential Drug List”; third, professional pharmacists should fully understand the toxic and side effects of drugs , to ensure the safety, rationality and effectiveness of precise medication for patients.
“Constructing a comprehensive pharmaceutical service system will help improve the quality of pharmaceutical services and make pharmaceutical services closer to patients. Strengthening the construction of medical alliances and specialist alliances is an important part of the national medical reform. However, In terms of pharmaceutical management, there are some problems within the medical alliance.” Cui Shun suggested that to optimize the hospital pharmacy service system, the medical alliance should first establish a drug management model, including medication standards and academic standards; in addition, do a good job in the national essential drug list. The supply of medicines within the medical consortium, the establishment of pharmaceutical standardization and platform informatization construction within the medical consortium.
With the continuous optimization and upgrading of medical technology, precision medicine technology is now used in clinical practice. Cui Shushu believes that the clinical development of precision medicine needs to meet the following conditions: first, accurate diagnosis is the premise; second, after the patient’s genetic test and drug concentration test results are generated, a team of talents must be equipped to interpret the report to accurately interpret the test results. To ensure the safety and effectiveness of patients’ medication, in order to achieve better therapeutic effects; third, the hospital should attach importance to the scientific research of pharmacy, the construction of information systems, and the training of talent teams.