川渝緊密型區(qū)域醫(yī)共體居家藥學(xué)服務(wù)質(zhì)量控制專家共識

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中圖分類號R95 文獻(xiàn)標(biāo)志碼A 文章編號 1001-0408（2025）14-1689-08

DOI 10.6039/j.issn.1001-0408.2025.14.01

ABSTRACTOBJECTIVETo providereference forfurtherunifying and standardizing thequalityof home-based pharmaceutical servicesinclose-knitregional medicalcommunityof Sichuanand Chongqing，andensuring medicationsafetyof patients. METHODS Under the guidanceof the Chongqing Medical Asociationand the Chongqing Pharmaceutical AdministrationQuality ControlCenter，andledbytheBishanHospitalAfliatedtoChongqngMedicalUniversityandtheYongchuanHospitalAiliated toChongqingMedicalUniversity，14medicalinstitutionsintheSichuan-ChongqingregionjointlyparticipatedBasedonexisting regulations，guidelines，andexpertconsensus，questionnairesurveywasconductedtoinvestigatethimplementationstatusofomebasedpharmaceutical serviceswithin theclose-knitregional medicalcommunityof Sichuanand Chongqing.Subsequently，the Delphi ethod wasemployed forexpertconsultationandtheanalytic hierarchyprocesswasused todetermine indicator weights， ultimatelyestablishingaqualitycontrolsystemforhome-basedpharmaceuticalservicesintheclose-knitregionalmedical communityof SichuanandChongqing.RESULTs&CONCLUSIONsThisconsensus has establishedaqualitycontrolsystemfor home-based pharmaceutical services withintheclose-knit regional medicalcommunityof Sichuanand Chongqing，encompassing threedimensions：servicequalificationevaluation，necesityevaluation，andservicequality evaluation.Among them，service qualityevaluationservesasthecorecomponentofthequalitycontrolsystem，incorporatingl6secondaryindicators，whichare furtherclasifiedinto9coreindicatorsand7generalindicatorsbasedontheirsignificance.Meanwhile，thisconsensusproposesa phasedqalitycontrolstrategy.Undertheframeworkoftheclose-knitregionalmedicalcommunityinSichuanandChongqig，this strategytakes execution priorityand executioneffectivenessas its core. It allows for flexible handling of the rigid requirements concerning service qualificationsand necessity，thereby providing aunified and operable quality control toolkit for theclose-knit regional medical community in Sichuan and Chongqing.

KEYWORDSmedical community；home-based pharmaceutical services；quality control；expert consensus

居家藥學(xué)服務(wù)是指藥師在適宜場所（如社區(qū)、養(yǎng)老院或住所內(nèi)）為居家藥物治療的患者普及健康知識，開展用藥評估和用藥教育，指導(dǎo)貯存和使用藥品，進(jìn)行家庭藥箱管理，提高患者用藥依從性等個體化、全程、連續(xù)的藥學(xué)服務(wù)[1。（剩余11855字）