重庆市基层社区药学工作室的构建与实践探索

BackgroundCommunity pharmacy has significant advantages in curbing medication misuse and managing chronic diseases. Neverthelesspharmacists encounter challenges such as complex job dutiesinadequate professional knowledgeand low public awareness. Under the background of government support for innovating and expanding pharmacists'rolesthe healthcare alliance has emerged as an ideal solution to the dilemma in community pharmacy. ObjectiveThis research devote to establish a community pharmacy studio to enhance the quality of community pharmacy services and the outcomes of chronic disease management based on the healthcare alliance model. MethodsThree randomized controlled trials were implemented in three communities within a healthcare alliance from April 2023 to March 2024while all control groups served as negative controls. In Trial one254 healthcare professionals were randomly and equally divided into two groups. The experimental group received pharmaceutical literacy trainingafter which the outcomes were compared with those of the control group. In Trial two540 residents were randomly divided into two groupsthe experimental group received services from the community pharmacy studio. Pharmaceutical literacymedication adherencepharmacist recognitionand service satisfaction were compared between the two groups. In Trial three118 chronic disease patients were randomly divided into two groups. The experimental group received individualized medication guidanceand the rates of chronic disease indicator control were compared between the two groups. Data were collected through questionnairesinterviewsand medical record reviews and analyzed by SPSS 24.0 software. ResultsSurvey results indicated that the proportion of participants with high pharmaceutical literacy in the experimental group86.61%110 /127was significantly higher than in the control group68.50%87/127showing a statistically significant difference2 =11.966P<0.01. The research find that the experimental group had a higher proportion of residents76.30%with high pharmaceutical literacy compared to the control group50.37%P<0.001according to comprehensive assessment of community residents' pharmaceutical literacy and service satisfaction. Additionallythe proportion of community residents exhibiting high medication adherence was higher in the experimental group81.48%compared to the control group68.52%P<0.01. Furthermore96.67% of respondents in the experimental group were satisfied with the pharmacy studio. The degree of satisfaction was significantly higher than that in the control group75.19%P<0.001. Alsothe experimental group had a higher proportion of residents94.44%recognizing the professional the pharmacist team compared to the control group87.78%P<0.01. ConclusionSupported by healthcare alliancethe community pharmacy studio modeleffectively overcame the challenges of community pharmacy developmentenhanced the quality of pharmacy servicesimproved outcomes of patient disease managementand set new standards for the future of community pharmacy. This model provides valuable insights and practical experience for the development and innovation of community pharmacy services in China.