美国的Ｈｅｐｌｅｒ和Ｓｔｒａｎｄ在 1990年提出药学监护 (ｐｈａｒｍａ ｃｅｕｔｉｃａｌｃａｒｅ)的概念并在美国得到广泛实施。国内药学界对其进行了大量的介绍[1～ 3 ] ,希望在国内能得到逐步实施。本文重点就美国在实施药学监护过程中遇到的问题进行阐述 ,以期我国医院药 The United States, Hepler and Strand, introduced the concept of pharma ceutical care in 1990 and is widely adopted in the United States. The domestic pharmaceutical community conducted a large number of its introduction [1 ~ 3], hoping to be gradually implemented in the country. This article focuses on the United States in the implementation of pharmaceutical monitoring process problems described in the hope that China’s hospital drugs