Optimizing community medication services and actively leveraging the role of medical consortia in Pudong
The report of the 20th National Congress of the Communist Party of China pointed out that ensuring the health of the people is a strategic priority for development. The 2023 City Health Work Conference held in February of this year clearly stated that Shanghai will comprehensively promote the high-quality development of the medical service system, and require "enhancing the capacity of community health services, strengthening the basic medical, public health, health management, and rehabilitation nursing functions of the community.". Pudong New Area recently released the Implementation Plan for Comprehensive Enhancement of Community Health Service Capacity in Pudong New Area, further promoting the high-quality development of community health, promoting graded diagnosis and treatment, and increasing the accessibility and happiness of public health services.
At the Sanlin Kangde Community Health Service Center outpatient clinic, there has recently been an additional "General Practitioner Pharmacy Joint Outpatient Clinic". The attending doctors not only include general practitioners from the health service center, but also pharmacists from its closely knit medical consortium unit, Shanghai Oriental Hospital. Sanlin resident Xu Grandma has successfully dispensed commonly used drugs for heart saving and blood pressure control here, no longer having to go to a tertiary hospital in the city to prescribe medication as in the past.
"I need to prescribe this medicine every 25 days, and both of us are in our 70s. It's not convenient to go to a tertiary hospital to prescribe medicine. The doctor is very good, and I called yesterday to come here today to prepare it. It's quite convenient because it's close," said Aunt Xu.
On the same day, Dr. Bao Siwei, the head of clinical pharmacy and deputy chief pharmacist at Shanghai Oriental Hospital, who was sitting in the community, told Huang Dandan, the director of the pharmacy department at Sanlin Kangde Health Service Center in Pudong New Area, "Previously, the drugs provided by community hospitals were mainly national essential drugs. Now, we have strengthened our cooperation with medical consortia. This year, by helping to promote the high-quality development of community health services, we are actively expanding the scope of our drug supply catalog. Patients can enjoy more and wider medical services in the community, and it has also improved the bond between community family doctors and patients."
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According to the spirit of the Implementation Plan for Further Enhancing the Community Health Service Capacity in this City, Pudong New Area fully launched drug configuration related work for medical consortia in July this year. Taking the Oriental Hospital and its close medical consortium member units visited by the reporter as an example, the hospital serves as a clinical pharmacist training base of the National Health Commission, a clinical rational drug use demonstration base of the China Medical Education Association, and a key clinical pharmacy specialty in Shanghai. Currently, it has connected with nearly 40 community health service centers within the medical consortium to provide drug training; Identifying key patients and diseases for community referral; Sort key drugs, key interventions, and key monitoring; Optimize the supply of drug equipment. Guided by demand, we ensure that the public can access continuous medical services at their doorstep while enjoying homogeneous pharmaceutical services and pharmaceutical monitoring at tertiary hospitals in the community.
Ma Yabin, director and chief pharmacist of the pharmacy department of Shanghai Oriental Hospital, told reporters: "Each community health service center has its own characteristic diseases, such as stroke, diabetes, coronary heart disease, hypertension, chronic bronchitis, etc. For these community hospitals, our pharmacy department has established two WeChat groups, one is the" community pharmacists' communication group for rational drug use capacity building "which includes 47 community health service centers; Another is the "Pharmaceutical Service Capability Enhancement Group" aimed at the close medical alliance in the East. In the process of closely matching, we have also improved, and we have delved into the community to provide multi-modal assistance and progress together. It is our responsibility as pharmacists to provide homogeneous pharmaceutical services and supervision to patients referred to and community medical consortia in tertiary hospitals
Text: Li Li
Photography: Min Di
![Optimizing community medication services and actively leveraging the role of medical consortia in Pudong](https://a5qu.com/upload/images/f89503f46b267308b396ddfbdc5d080f.jpg)
*Reprinted from official WeChat account released by Pudong