The University of Sydney Pharmacy School, Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, Australia.
College of Pharmacy, Touro University California, 1310 Club Drive, Vallejo, CA, 94592, USA.
Hum Resour Health. 2020 Aug 3;18(1):55. doi: 10.1186/s12960-020-00493-9.
The use of traditional and complementary medicines (TM/CMs) has become an increasingly popular part of healthcare and self-care practices across the world. While the benefits and risks of many TM/CMs are yet to be fully evaluated, their prevalent use without consistent oversight has not been fully addressed by the public health sector. Pharmacists play an integral role in contributing to public health. Discussion about integrating TM/CMs into the professional practice of the pharmacist began over two decades ago. Nevertheless, TM/CMs are predominantly managed as "retail products" and are not integrated into pharmaceutical care and practice. While some isolated measures towards integration have been proposed, there remains no consensus on how to deliver pharmaceutical care in a coordinated, systematic manner. Systems thinking approaches are needed to formulate and implement strategies that change pharmacists' practice related to TM/CMs. Such approaches will ultimately reduce risk, optimize patient care, and result in better health outcomes.
传统医学和补充医学（TM/CMs）的应用已成为全球医疗保健和自我保健实践中日益流行的一部分。尽管许多 TM/CMs 的益处和风险尚未得到充分评估，但在公共卫生部门，它们在没有一致监督的情况下广泛使用的问题尚未得到充分解决。药剂师在促进公共卫生方面发挥着不可或缺的作用。二十多年前就开始讨论将 TM/CMs 纳入药剂师的专业实践中。然而，TM/CMs 主要被视为“零售产品”，并未纳入药物治疗和实践中。虽然已经提出了一些关于整合的孤立措施，但在如何以协调、系统的方式提供药物治疗方面仍未达成共识。需要系统思维方法来制定和实施改变药剂师与 TM/CMs 相关实践的策略。此类方法最终将降低风险、优化患者护理并带来更好的健康结果。
