Silcock Jonathan, Raynor D K Theo, Petty Duncan
Pharmacy Practice and Medicines Management Group, School of Healthcare Studies, Baines Wing, University of Leeds, P.O. Box 214, Leeds LS2 9UT, UK.
Health Policy. 2004 Feb;67(2):207-14. doi: 10.1016/s0168-8510(03)00121-0.
Primary care pharmacists carry out clinical and administrative work directly for family doctors and primary care organisations. They are a relatively recent innovation and their role in the United Kingdom (UK)'s National Health Service (NHS) is still developing. The economic liberalization of the NHS in the 1990s seems to have provided a major stimulus for the growth of primary care pharmacy. The establishment of the new professional group was not linked to a deliberate plan or change in health policy with respect to pharmacist development. Primary care pharmacy practice is much more varied and flexible than traditional pharmacy practice in the community and hospitals. Standards and professional organisation for primary care pharmacy are slowly emerging. Modernization of the NHS is providing many new opportunities, which primary care pharmacists are well placed to take advantage of. Traditional community pharmacy faces many problems unless it can learn to develop alongside primacy care pharmacy. Pharmaceutical care is set to improve in the United Kingdom, but the precise nature of future services and providers remains uncertain.
基层医疗药师直接为家庭医生和基层医疗组织开展临床和管理工作。他们是相对较新的创新力量,其在英国国民医疗服务体系(NHS)中的作用仍在不断发展。20世纪90年代NHS的经济自由化似乎为基层医疗药房的发展提供了主要推动力。新专业群体的建立与针对药师发展的深思熟虑的计划或卫生政策变化并无关联。基层医疗药房实践比社区和医院的传统药房实践更加多样化和灵活。基层医疗药房的标准和专业组织正在慢慢形成。NHS的现代化提供了许多新机会,基层医疗药师很适合利用这些机会。传统社区药房面临许多问题,除非它能学会与基层医疗药房共同发展。英国的药学服务有望得到改善,但未来服务和提供者的确切性质仍不确定。