目的： 结合我国医院药事法规、制度，探讨《中国总药师制度专家共识（2018）》存在的问题，为医院药事管理发展提出建议。方法： 研究了北京医院管理局及《中国总药师制度专家共识（2018）》中总药师岗位职责、任职资质、选拔任用、任职目标相关内容，并与我国《医疗机构药事管理规定》等法规、制度、规范的相关内容进行了对比分析。结果与结论： 《中国总药师制度专家共识（2018）》中，岗位职责、任职资质、选拔任用、任职目标相关内容多来自现行医院药事管理的法规、制度、规范中相关内容，例如在药事委员会工作、合理用药管理、学科发展与人才培养、药品采购计划与预算等方面有许多相互重叠。医院总药师制度应当结合各地区医院药事管理具体情况加以探索。
Objective: To discuss the problems existing in Consensus of Experts on the System of General Pharmacists in China (2018), in combination with regulations and systems of hospital pharmaceutical affairs in our country, some suggestions for the development of hospital pharmaceutical affairs were put forward. Methods: The post responsibility, qualification, selection and appointment of the General Pharmacist in Beijing Hospital Authority and Consensus of Experts on the System of General Pharmacists in China (2018) were studied and compared them with the regulations, systems and norms of Pharmaceutical Management in Medical Institutions. Results and Conclusion: In Consensus of Experts on the System of General Pharmacists in China (2018), the relevant contents of post responsibility, service post, selection and appointment, and service objective can not be attributed to institutional innovation, and most of the main contents were from the current hospital management laws and regulations, systems, norms. For instance, there were many overlaps in the aspects of the pharmaceutical committee, rational drug use management, discipline development and talent cultivation, drug procurement plan and budget. The hospital general pharmacist system should be explored in combination with the specific situation of hospital pharmacists in various regions.
[1] 国务院办公厅. 国办发[2016] 78号国务院关于印发"十三五"深化医药卫生体制改革规划的通知[S]. 2016.
[2] 中华医学会临床药学分会. 中国总药师制度专家共识(2018)[J]. 中华医院管理杂志,2018,34(10):793-796.
[3] 卫生部,国家中医药管理局,总后勤部卫生部. 卫医政发[2011] 11号医疗机构药事管理规定[S]. 2011.
[4] 卫生部医疗服务监管司. 医院工作制度与人员岗位职责(卫生部2011年版)[S]. 北京:人民卫生出版社, 2011.
[5] 国务院办公厅. 国办发[1990] 72号总会计师条例[S]. 1990.
[6] 财政部办公厅. 中华人民共和国会计法(2017年修订)[S]. 北京:中国法制出版社,2017.
[7] 郭辉. 对三级医院药剂科评审标准的几点建议[J]. 江苏药学与临床研究,1999,7(1):60-61.
[8] 郭辉,韩枫,董栋. 加强抗感染药物的管理[J]. 江苏药学与临床研究,2004,2(12):54-55.
[9] 郭辉,郭大斯,韩枫,等. ISO9001与医院药事管理[J]. 中国卫生质量管理,2005,(l):37-38.
[10] 董栋,韩枫. 浅谈我院药事管理体制改革的体会[J]. 中国药事,2009,23(10):985.
[11] 张红旭,郭辉. 医院药事管理及其组织机构设置的探讨[J]. 中国药事,2013,27(7):764-768.
[12] 张红旭,郭辉. ISO9001质量管理体系在医院抗菌药物管理中的应用[J]. 抗感染药学,2013,10(2):151-153.
[13] 张红旭,徐媛,郭辉. 医疗机构药事管理的问题与建议[J]. 中国执业药师,2014,11(11):40-42.
[14] 张红旭,杨庆,牛立营,等. 国家临床重点专科临床药学评审标准存在的问题及其建议[J]. 中国药事, 2016,30(10):1033-1036.
[15] 张红旭,牛立营,杨庆,等. 对国家临床重点专科临床药学专业临床药学评审标准的修改建议[J]. 中国药房,2017,28(16):2170-2175.
[16] Thawani V R,Turankar A V,Sontakke S D,et al. Economic Analysis of Drug Expenditure in Government Medical College Hospital, Nagpur[J]. Indian J Pharmacol,2004,36(1):15-19.
[17] 中国医院协会临床药师培训专家指导委员会. 临床药师培训指南[M]. 北京:人民军医出版社,2018:37-88.
[18] 杨丽娟,甄健存. 临床药师绩效考核体系的构建[J]. 中国医院药学杂志,2012, 5(32):379-381.
