Feng Danlong, member of the two sessions: need to work out unified pharmacist system and access standards as soon as possible

"Pharmacists are a very important profession." Feng Danlong, member of the CPPCC National Committee and senior consultant of Pfizer China enterprises, said, "it has been generally accepted by the international community to improve the quality of life of patients by providing pharmaceutical services responsibly through pharmacists in the medical team." With the opening of the national "two sessions" in 2019, we will hear more suggestions and suggestions for the healthy development of China's pharmaceutical industry "The rational use of drugs and the safety of people's use of drugs can no longer wait." In view of the current situation of pharmaceutical care in China, Feng Danlong suggested that the Pharmacist Law of the people's Republic of China should be formulated and promulgated as soon as possible, a unified pharmacist system and access standards should be formulated, and the legal status, responsibilities, rights and obligations of pharmacists should be clarified "We should develop academic education and continuing education as a whole through pharmacists' legislation and based on China's national conditions With the construction of high-level pharmacists' talent team and grass-roots pharmacists' team as the focus, we should build a pharmacist team with noble morality, excellent technology, solid profession, reasonable structure and legal practice in medical and health institutions and social pharmacies." At the same time, she suggested that we should optimize the allocation structure of pharmacists and achieve basic fairness in the allocation of pharmacists between urban and rural areas, between regions and between various medical institutions Through legislation to unify pharmaceutical service standards and standards, we will continue to improve the service level and quality of pharmacists, so as to meet the multi-level and diversified pharmaceutical service needs of the people As the most populous developing country in the world, the demand for pharmaceutical care is also growing At present, China's pharmacists implement the "dual track system": Professional Title pharmacists and licensed pharmacists are parallel, one belongs to the hospital pharmacist system managed by the health sector, and the other belongs to the licensed pharmacist system managed by the state pharmaceutical regulatory department, and the vocational qualification access system is implemented There are differences between the two kinds of pharmacists in management subject, qualification access, responsibility and authority, staffing, continuing education and many other aspects "As the upper level laws such as the drug administration law and the detailed rules for the implementation of the drug administration law do not clearly stipulate the allocation and practice standards of the two types of pharmacists, the pharmacist administration law in China has formed a situation of" vague upper level laws and conflicting lower level laws ", which has affected the healthy development of this profession." Feng Danlong said Under the current mechanism, pharmacists don't have enough right to review prescriptions, and they don't have the corresponding funds to support pharmacists to provide medication consultation services to patients, which leads to the difficulty of clinical pharmacy work and the insufficient guarantee of patients' medication safety In order to change this situation, it is reported that some public medical institutions will start the pilot work of drug service fee, and each prescription will be charged 4 yuan In fact, paying for pharmacists' service is a common form in the world In many foreign countries, the system of Medicine Division is implemented Doctors are specialized in disease diagnosis and prescription Pharmacists adjust drugs according to doctors' prescription and provide services such as medication guidance, which are divided into outpatient service fee and inpatient service fee Although the construction of clinical pharmacists in tertiary hospitals in China is gradually closing the gap with developed countries in Europe and the United States, there are still many problems, such as the pharmacist law has not yet been issued and pharmacists generally agree with it By the end of December 2018, the registered number of licensed pharmacists in China was 468019 At present, the average number of licensed pharmacists per 10000 population is 3.4, and the number of licensed pharmacists registered in social pharmacies is 418576, accounting for 89.4% of the total number of registered pharmacists In the view of the insiders, the current development of licensed pharmacists is facing problems such as low level of legal protection and unbalanced regional development "At present, there is no special law on licensed pharmacists to regulate the activities of licensed pharmacists and protect their rights and interests In addition, we found that there is a serious shortage of licensed pharmacists in the remote areas of the central and western regions, especially in Yunnan and Guizhou " Said the person Although the code of practice for pharmacists' business implemented on January 1, 2017 has some provisions on the scope of practice for pharmacists' business, the scope of practice for pharmacists' pharmaceutical services in China is still concentrated on prescription allocation, and the phenomenon of "emphasizing management and neglecting service" in social pharmacies is still serious, and compared with positions of the same nature, the salary is relatively low, the service awareness of pharmacists is relatively weak, and the business scope is relatively small It is narrow "The education level of pharmacists in China is lower than that in developed countries The survey shows that in recent years, the graduates of higher education are more inclined to go to enterprises than to engage in pharmaceutical services directly." According to Feng Danlong, in a limited number of pharmacists, there are also different levels of practice There are a large number of licensed pharmacists who have not received pharmaceutical education and are registered as licensed pharmacists only by rushing through the registration examination of licensed pharmacists before the examination According to the education background distribution of the qualified personnel in the 2017 licensed pharmacist examination, about one-third of them are technical secondary school, junior college, undergraduate and above There are 5369 people with master's degree or above, 41800 people with bachelor's degree, 51600 people with college degree, and 53500 people with technical secondary school In view of the fact that the quality of the licensed pharmacists is uneven, the notice on the two draft opinions of "Regulations on the professional qualification system for licensed pharmacists and measures for the implementation of qualification examination" plans to raise the entry threshold to junior college, and at the same time, the project of improving the capacity and academic history of licensed pharmacists is also vigorously implemented nationwide What is the current situation of pharmacists in developed countries with highly mature pharmaceutical industry? We selected the current situation of pharmacists in the United States, the United Kingdom and Japan for comparison: > > the United States has a high threshold and a high degree of recognition The United States is a country with a highly centralized development of pharmacist industry In the past few decades, the labor market of pharmacists in the United States has seen significant dynamic changes in both supply and demand, especially in the number of pharmaceutical graduates This is due to the increase in enrollment of existing pharmaceutical courses and the nearly doubling of pharmaceutical courses across the United States since 1990, which has promoted the development of pharmacists According to statistics, as of 2010, there were 274900 registered pharmacists in the United States The National Center for health workforce forecasts a 35% increase in pharmacist supply and a 16% increase in demand between 2012 and 2025 Generally speaking, the high demand and rapid development of occupation also means high social identity In December 2013, according to the survey results of Gallup, a famous American public opinion survey company, 70% of American citizens expressed full trust in pharmacists, second only to nurses, ranking the second most trusted occupation in the United States As early as 1995, the U.S Department of Veterans Affairs issued guidelines for professional clinical pharmacists to provide anticoagulant or other chronic disease treatment services for patients in outpatient clinics, and allowed professional clinical pharmacists to exercise independent prescription rights within the Department of Veterans Affairs In addition, the United States implements the policy of medical separation Many families will be equipped with common family pharmacists to solve the health problems in their daily life, which is widely recognized In terms of income, according to the 2010 U.S pharmaceutical career pay survey, the pay of pharmaceutical directors is $125200 per year, that of retail pharmacists is $113600, that of hospital pharmacists is $111700, that of mail order pharmacists is $109300, and that of pharmacists working in clinics is $113400 The current average salary is not the same >>70% of pharmacists in the UK work in pharmacies and pharmacists have diversified development directions They can work in community pharmacies, hospital pharmacies, pharmaceutical enterprises, and independent pharmacists with prescription rights In addition, some of them are engaged in academic research At present, 70% of pharmacists in the UK work in pharmacies and 20% in hospitals The responsibilities of pharmacists in the UK are also clear: they are mainly responsible for drug safety, drug information services, pharmacist consultation clinics, budget control and others In Britain, pharmacists have a good social status and treatment The newly registered pharmacists have an annual income of about 27000 pounds (about 236000 yuan) after tax, and there is room to increase every year, especially after they are promoted to become drugstore managers, regional managers or independent prescription pharmacists, the treatment will be higher The pharmaceutical system in Britain is not as strict as that in the United States All pharmaceutical colleges adopt a unified system, i.e four years of continuous study, and students will be awarded a master's degree in pharmacy after graduation >>The division of responsibilities of pharmacists in Japan makes it clear that licensed pharmacists in Japan play various professional roles, including pharmacists in pharmacies, pharmacists in schools, pharmacists in universities, pharmacists in administrative work, pharmacists in hospitals, clinical research coordinators (CRC), pharmacists in pharmaceutical enterprises, etc The division of Japanese pharmacists' functions is also quite clear: to provide local medical and health care services, school medical and health care, pharmaceutical education, clinical trials, drug research and development, etc The clear and detailed classification helps all kinds of pharmacists to better engage in pharmaceutical work in their work fields and improves the quality of overall pharmaceutical care According to a survey conducted by the Ministry of health, labor and welfare in 2014, as of the end of 2014, there were 288151 pharmacists in Japan, close to doctors According to the 2016 annual report of Japan Pharmacists Association, as of December 31, 2012, the number of pharmacists in community pharmacies in Japan was 153012, accounting for 54.6% of the total number of pharmacists in Japan; the number of pharmacists in hospitals / clinics was 52704, accounting for 18.8%; the number of pharmacists in the field of drug manufacturing and marketing was 31262, accounting for 11.2% of the total; the rest 16.4% pharmacists are in drug distributors, health administrative departments, universities, science and education and other fields Japan attaches great importance to pharmacist education and has a perfect pharmaceutical education system As of 2014, there are 74 pharmaceutical schools in Japan, including 14 national universities, 3 public universities and 57 private educational institutions In terms of educational system, the Ministry of education, science and technology of Japan revised it into a 6-year and new 4-year parallel pharmaceutical undergraduate education system in 2004 Students graduating from university must pass the pharmacist qualification examination held in April every year to obtain the pharmacist license.