Practice of 24-hour Online Medication Consultation Service in a Obstetrics and Gynecology Hospital
GAI Di, ZHAO Wen, LI Yi-fan, FENG Xue-wei, FENG Xin*
Department of Pharmacy, Beijing Obstetrics and Gynecology Hospital, Capital Medical University, Beijing Maternal and Child Health Care Hospital, Beijing 100026, China
Abstract：OBJECTIVE To analyze the practice data of 24-hour online medication consultation service in a obstetrics and Gynecology Hospital.CONCLUSION Experimental group were set as 24-hour online pharmacist service(male, primary pharmacist) with 305 patients, and 354 patients with online pharmacist service from 8:00 to 17:00 on other working days were set as the control group. The data of patients′ gender, age, consultation time and “like” were collected and statistically analyzed. In the experimental group, the types of consultation questions and the “reward” of patients were analyzed separately.RESULTS 41.0% of the patients were consulted during non working hours. Compared with the control group, the proportion of male patients in the experimental group was higher (P=0.009), the proportion of non working hours such as holidays, early morning, night and late night was higher(P<0.001), and the number of consultation and praise per capita were higher(P<0.001). The types of questions consulted by the experimental group can be divided into 17 categories, 82.3% of which can be classified as medication and menstruation, adverse events, medication course, guidance of special dosage forms, medication safety during pregnancy and lactation, usage and dosage, non pharmaceutical problems and medication timing. In the statistical items, only age was significantly associated with “reward” behavior, and older people(P=0.013) were more willing to reward pharmacists′ services.CONCLUSION The 24-hour online medication consultation service is helpful to improve the satisfaction and “further consultation rate” of patients in relevant departments of Obstetrics and Gynecology, which is worthy of promotion. The proposed improvement measures: as far as possible, arrange online service for both men and women pharmacists; Make unified referral guidance for patients with non pharmaceutical problems; Continue to explore indicators that can better evaluate the quality of pharmaceutical online consulting service.
盖迪, 赵雯, 李轶凡, 封学伟, 冯欣. 妇产专科医院的24小时线上用药咨询服务实践[J]. 中国药学杂志, 2022, 57(18): 1575-1579.
GAI Di, ZHAO Wen, LI Yi-fan, FENG Xue-wei, FENG Xin. Practice of 24-hour Online Medication Consultation Service in a Obstetrics and Gynecology Hospital. Chinese Pharmaceutical Journal, 2022, 57(18): 1575-1579.
National Health Commission, PRC, State Administration of Traditional Chinese Medicine,PRC. Diagnosis and treatment of novel coronavirus pneumonia(8th trial edition)[EB/OL]. (2020-08-19) [2021-02-24]. http://www. nhc. gov. cn/yzygj/s7653p/202008/0a7bdf12bd4b46e5bd28ca7f9a7f5e5a/files/a449a3e2e2c94d9a856d5faea2ff0f94. pdf.
[2]
ZHANG L, ZHANG K, CHU Y Q, et al. Expert consensus on accelerating the development of intelligent pharmaceutical care during the epidemic of corona virus disease 2019(2nd edition)[J]. Clin Med J(临床药物治疗杂志), 2020,18(6):11-25.
[3]
ZENG D Y, HUANG P F, KE M, et al. Practice and thinking of carrying out hospital pharmaceutical care through the Internet during the New Coronavirus pneumonia epidemic prevention and control[J]. Adv Drug React J(药物不良反应杂志), 2020,22(3): 170-172.
[4]
SHAO L, PING L, MIMI T, et al. Providing pharmacy services during the coronavirus pandemic[J]. Int J Clin Pharm, 2020, 42(2):299-304.
[5]
HU X, LI X, Lü Y, et al. Effect of WeChat consultation group on residents staying at home in Sichuan and Chongqing regions during the Coronavirus Disease 2019(COVID-19) outbreak in China: a cross-sectional study[J]. BMC Public Health, 2020, 20(1):1815.
[6]
LI H B, ZHENG S Q, LIU F, et al. Fighting against COVID-19: Innovative strategies for clinical pharmacists[J]. Res Soc Adm Pharm, 2021, 17(1):1813-1818.
[7]
HUA X L, MING G, FANG Z, et al. Pharmacy administration and pharmaceutical care practice in a module hospital during the COVID-19 epidemic.[J]. J Am Pharm Assoc,2020;60(3):431-438.
[8]
HUANG W S, CAO B L, YANG G, et al. Turn to the internet first using online medical behavioral data to forecast COVID-19 epidemic trend[J].Inf Proc Manag, 2021, 58(3):102486. Doi:10.1016/j.ipm.2020.102486.
[9]
HU Y, YAN X L, BAI Z Y, et al. The practice and exploration of the pharmacy counseling services on internet-based medicine model during the period of Coronavirus Disease 2019[J].Chin Pharm J(中国药学杂志), 2020, 55(23): 1974-1978.
[10]
ZHAO H L. Analysis of correlation between age and common complications of pregnant women complicated with obstetrics[J]. Chin Med Rec(中国病案), 2019,20(4):57-60.
[11]
FDA. Pregnancy and lactation labeling(Drugs) final rule[EB/OL]. (2021-9-1) [2021-5-3]. https://www. fda. gov/drugs/labeling-information-drug-products/pregnancy-and-lactation-labeling-drugs-final-rule.
[12]
DU B R, FENG X, SHI X J. Publication and effects of FDA′s new rule for pregnant and lactational women[J].Chin Pharm J(中国药学杂志), 2016, 51(12):1049-1054.
[13]
ZHANG X H, ZHAO A P, YU J J. Investigation on privacy protection needs of inpatients in obstetrics and Gynecology[J]. Nurs J Chin PLA(解放军护理杂志), 2008,25(18): 16-18,21
[14]
HARTIGAN L, CUSSEN L, MEANEY S, et al. Patients′ perception of privacy and confidentiality in the emergency department of a busy obstetric unit.[J].BMC Health Serv Res, 2018, 18(1):978.
[15]
WU X H, CHEN J J, LIU Z Z, et al. Analysis on the effect of the ophthalmic internet artificial intelligence diagnosis and treatment service during the outbreak of COVID-19[J]. Chin Digit Med(中国数字医学),2020,15(9):6-11.
2022, Vol. 57 
