Article(id=1309634295677940399, tenantId=1146029695717560320, journalId=1227999776411738115, issueId=1309634291257143967, articleNumber=null, orderNo=null, doi=10.12048/j.issn.1674-229X.2026.06.008, pmid=null, cstr=null, oa=null, hot=null, price=null, onlineType=0, articleFormat=0, articleType=null, articleTypeStr=null, receivedDate=1768406400000, receivedDateStr=2026-01-15, revisedDate=null, revisedDateStr=null, acceptedDate=null, acceptedDateStr=null, onlineDate=1790170747917, onlineDateStr=2026-09-23, pubDate=1782316800000, pubDateStr=2026-06-25, doiRegisterDate=null, doiRegisterDateStr=null, onlineIssueDate=1790170747917, onlineIssueDateStr=2026-09-23, onlineJustAcceptDate=null, onlineJustAcceptDateStr=null, onlineFirstDate=null, onlineFirstDateStr=null, sourceXml=null, magXml=null, createTime=1790170747917, creator=13701087609, updateTime=1790170747917, updator=13701087609, issue=Issue{id=1309634291257143967, tenantId=1146029695717560320, journalId=1227999776411738115, year='2026', volume='36', issue='6', pageStart='401', pageEnd='480', issueExtLink='null', onlineDate='null', pubDate='1782316800000', pubDateStr='2026-06-25', beforeIssueId=null, nextIssueId=null, price=null, status=1, issueComplete=1, articleOrder=1, issueType=-1, specialIssue=null, createTime=1790170746864, creator='13701087609', updateTime=1790218948815, updator='13701087609', preIssue=null, nextIssue=null, articleTotal=null, ext={EN=IssueExt(id=1309836464964337802, tenantId=1146029695717560320, journalId=1227999776411738115, issueId=1309634291257143967, language=EN, specialIssueTitle=, coverIllustrator=null, specialIssueEditor=, specialIssueAbout=), CN=IssueExt(id=1309836464964337803, tenantId=1146029695717560320, journalId=1227999776411738115, issueId=1309634291257143967, language=CN, specialIssueTitle=, coverIllustrator=null, specialIssueEditor=, specialIssueAbout=)}, issueFiles=null, downloadFileDto=null}, startPage=450, endPage=455, ext={EN=ArticleExt(id=1309634297368244912, articleId=1309634295677940399, tenantId=1146029695717560320, journalId=1227999776411738115, language=EN, title=Construction and Effect Evaluation of the Obstetrics and Gynecology Resident Pharmacist Model Supported by Pharmacotherapy Clinic, columnId=null, journalTitle=Pharmacy Today, columnName=null, runingTitle=null, highlight=null, articleAbstract=
OBJECTIVE So as to provide a reference for optimizing the pharmaceutical care model for resident pharmacists in obstetrics and gynecology, and to evaluate its impact on rational drug use and healthcare quality. This aims to provide a reference for optimizing the pharmaceutical care model of resident pharmacists in these departments.
METHODS A retrospective study was conducted. Data on clinical pharmaceutical services from the Obstetrics and Gynecology Department of a hospital were compared before (January 2024-December 2024, control group) and after (January 2025-December 2025, intervention group) the implementation of the resident pharmacist model. Core indicators included the Antibiotic Use Density (AUD), rational use rate of antibiotics for type II incisions, number of reported adverse drug reactions (ADRs), and drug proportion control and medication cost control. This was combined with a comparative analysis of online and offline service data from the pregnancy and lactation pharmacy clinic.
RESULTS Following implementation, the pregnancy and lactation pharmacy clinic completed 568 offline consultations and 1 121 online consultations. Clinical affinity was significantly improved (P<0.01). Core rational medication use indicators showed marked improvement: AUD decreased by 13.5% in obstetrics and 23.7% in gynecology (both P<0.01). The rational use rate of antibiotics for type II incisions improved significantly (P<0.01). The acceptance rate of antibiotic consultation recommendations reached 100% in both departments. ADR reporting increased. The drug proportion and average per capita drug cost were significantly decreased. The intravenous infusion rate and average length of stay in gynecology were both significantly decreased (P<0.01). After the implementation of fees for the pharmacy clinic, the pregnancy and lactation clinic conducted 392 fee-based consultations, averaging 28 per month, exceeding the average monthly number of consultations before charging. Following the implementation of the inpatient consultation fee (clinical pharmacy) policy, 732 cases of medication therapy management were conducted.
CONCLUSION The collaborative model integrating the pharmacy clinic with resident pharmacists effectively addresses clinical pain points through medication risk assessment and medication optimization. It enhances physician-pharmacist collaboration, significantly improves rational drug use indicators, and achieves tripartite collaboration among physicians, pharmacists, and patients. This model provides a innovative solution for medication safety in special populations and which is worthy of promotion and application.
, authors=Jiajia QIN, Jun LI, Facheng BAI, Lining WU, Yunxia TANG, Wenxing WEI
*, authorsList=Jiajia QIN, Jun LI, Facheng BAI, Lining WU, Yunxia TANG, Wenxing WEI, authorCompany=null, correspAuthors=Wenxing WEI, authorNote=null, correspAuthorsNote=null, copyrightStatement=null, copyrightOwner=null, extLink=null, articleAbsUrl=null, sourceXml=null, magXml=null, pdfUrl=null, pdf=null, pdfFileSize=null, pdfExtLink=null, richHtmlUrl=null, mobilePdfUrl=null, reviewReport=null, pdfFirstPage=null, abstractGraph=null, abstractGraphContent=null, abstractVideo=null, citation=null, cebUrl=null, magXmlContent=null, mapNumber=null, fund=null), CN=ArticleExt(id=1309634297699594929, articleId=1309634295677940399, tenantId=1146029695717560320, journalId=1227999776411738115, language=CN, title=基于药学门诊助力下的妇产科驻科药师模式构建及效果评价, columnId=1228268588277105398, journalTitle=今日药学, columnName=临床药学, runingTitle=null, highlight=null, articleAbstract=
目的 构建药学门诊与妇产科驻科药师协同工作模式，并评估其对合理用药及医疗质量的影响，为妇产科驻科药师的药学服务模式优化提供参考。
方法 采用回顾性研究，对比分析某院妇产科实施驻科药师模式前（2024年1~12月，对照组）与实施后（2025年1~12月，试验组）的临床药学服务数据，纳入抗菌药物使用强度（AUD）、II类切口抗菌药物合理使用率、药品不良反应上报数、药费管控等核心指标，并结合妊娠哺乳期药学门诊线上线下服务数据对比分析。
结果 实施后，妊娠哺乳期药学门诊完成线下接诊568例、线上咨询1 121例。临床亲和度显著提升（P<0.01），合理用药核心指标显著改善：产科与妇科AUD分别下降13.5%和23.7%（P<0.01）；II类切口抗菌药物合理使用率显著提高（P<0.01）；妇科、产科抗菌药物会诊接受率均为100%；药品不良反应上报量增加；药占比显著下降；人均药品费用降低；妇科静脉输液率及平均住院日均下降（P<0.01）。药学门诊实施收费后，妊娠哺乳期药学门诊共收费接诊病392例，月平均28例，大于收费前的月平均接诊人数；住院诊查费（临床药学）政策实施后，共开展用药监护732例。
结论 药学门诊与驻科药师的协同模式通过药物风险评估与用药优化，有效解决临床痛点，提升医-药协作效能，显著改善合理用药指标。该模式实现“医-药-患”三方协同，为特殊人群用药安全提供创新解决方案，具有推广价值。
, authors=覃佳佳, 李俊, 白法承, 吴丽宁, 唐云峡, 韦文兴
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