“以药养医”是多年来备受诟病的制度,甚至成了“看病贵”的主要原因。2012年,北京相继在友谊、朝阳、天坛等5家医院试点取消药品加成,一个此前比较边缘的角色——药师开始渐入公众视野。长久以来,在以药养医格局下,医疗机构中药师一直处于被动的从属地位,其工作基本不需要发挥技术优势,如药品购进、管护等等。但从国际惯例看,药师却在药品质量监督、处方和医嘱审核、药物治疗方案制定、特殊药品管理、不良反应监测、患者用药咨询和健康教育等方面有着不可替代的 “To medicine and medicine ” is much criticized system over the years, and even became the main reason for “expensive”. In 2012, Beijing successively canceled drug additions at five hospitals including Friendship, Chaoyang and Temple of Heaven. One of the more marginalized characters, the pharmacist, began to gradually enter the public field of vision. For a long time, pharmacists in medical institutions have always been in a passive subordinate position under the framework of medicine and medicine support. Their basic work does not require technical advantages such as drug purchase, management and maintenance. However, according to international practice, pharmacists have irreplaceable roles in drug quality supervision, prescription and medical examination, drug treatment planning, special drug management, adverse drug reaction monitoring, patient medication consultation and health education