Babb Victoria J, Babb John
Office of Compliance and Biologics Quality, Center for Biologics Evaluation and Research, U.S. Food and Drug Administration, 5600 Fishers Lane, HFM-600, Rockville, MD 20857, USA.
J Am Pharm Assoc (Wash). 2003 Jan-Feb;43(1):56-60.
To review opportunities through which pharmacists can help the United States achieve its public health goals as expressed in Healthy People 2010, a document issued by the federal government that expresses the areas of focus for Americans in the first decade of the 21st century.
Healthy People 2010 provides general goals for 10 leading health indicators (such as tobacco use, over-weight and obesity, and immunizations), and these are then further subdivided into 28 focus areas, many of them with quantifiable goals (such as, "Reduce hospitalization rates for three ambulatory care-sensitive conditions--pediatric asthma, uncontrolled diabetes, and immunization-preventable pneumonia and influenza."). As health care professionals, pharmacists have the responsibility to help the country meet these goals. Ideas for increased pharmacist involvement are described in the article, including the conduct of screening programs and provision of specialized services that focus on such areas as hypertension, diabetes, asthma, patient education, smoking cessation, or general medication management. Pharmacists can build their efforts in these and similar areas by collaborating with physicians and other appropriate professionals, identifying target patients who have obtained services at the pharmacy, contacting patients in at-risk populations within the pharmacy's patient base and/or the community, choosing and monitoring an objective of interest, and maintaining efforts for sustained time periods.
The message of Healthy People 2010 is that the health of the individual is closely linked to the health of the community and hence the health of the nation. Pharmacists, uniquely positioned as the most accessible health care providers in the community, can dedicate their considerable strengths toward using Healthy People 2010 as a tool to organize their own efforts and motivate their patients.
回顾药剂师能够借此帮助美国实现其在《2010年美国人健康计划》中所表达的公共卫生目标的机会。《2010年美国人健康计划》是联邦政府发布的一份文件，阐述了21世纪第一个十年美国人关注的领域。
《2010年美国人健康计划》为10项主要健康指标（如烟草使用、超重与肥胖以及免疫接种）提供了总体目标，这些目标随后又进一步细分为28个重点领域，其中许多都有可量化的目标（例如，“降低三种门诊医疗敏感疾病——小儿哮喘、未控制的糖尿病以及可通过免疫接种预防的肺炎和流感——的住院率”）。作为医疗保健专业人员，药剂师有责任帮助国家实现这些目标。本文描述了增加药剂师参与度的一些想法，包括开展筛查项目以及提供专注于高血压、糖尿病、哮喘、患者教育、戒烟或一般药物管理等领域的专业服务。药剂师可以通过与医生及其他合适的专业人员合作，确定在药房接受过服务的目标患者，联系药房患者群体和/或社区中有风险人群的患者，选择并监测感兴趣的目标，以及在一段持续时间内持续努力，在这些及类似领域开展工作。
《2010年美国人健康计划》传达的信息是，个人健康与社区健康紧密相连，进而与国家健康紧密相连。药剂师作为社区中最容易接触到的医疗保健提供者，具有独特的地位，可以充分发挥自身优势，将《2010年美国人健康计划》作为一种工具来组织自身工作并激励患者。
