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为杜绝医院滥用药品现象，达到合理用药的目的，效法美国实施临床药学监护（ＰＣ）管理模式，在医院建立临床药师查房、会诊制度。在本院住院部实施１ａ的试验中，药师参加会诊共７０例，接受用药咨询２３０例，进行专题用药分析９次，结果基本纠正滥用贵重药品和不合理多联用药现象。医疗质量与上年度同期相比无下降（治愈、好转率上期为９６．２％，本期为９５．９％），住院患者人均费用却减少了１１．７％，每床收费仅为同级综合医院的７５％；住院部药费收入比例从上年度的４０．２％下降到２８．６％，但出院病人数、实际占用总床日数分别增长了３５．１４％和２０．４８％，住院部总收入在扣除药品成本后，实际增长了６０．４％。因而认为我国传统的由医师单方面决定用药的模式不利于合理用药，必须让药师介入临床用药过程，才能提高用药水平，杜绝滥用药品现象。
In order to eliminate the phenomenon of drug abuse in hospitals and achieve rational drug use, the United States is following the practice of clinical pharmaceutical care (PC) management in the United States and establishing a clinical pharmacist’s round-of-house and consultation system in hospitals. In the 1a trial conducted by the inpatient department of this hospital, pharmacists participated in a total of 70 consultations, received 230 drug consultations, and conducted topical drug analysis for 9 times. The results basically corrected the phenomenon of abuse of valuable drugs and unreasonable multi-drug use. There was no decrease in medical quality compared with the same period of last year (96.2% in the previous period of cure, improvement, and 95.9% in the current period), and the per capita cost of inpatients was reduced by 11.7%. The charge per bed is only at the same level. 75% of general hospitals; the proportion of income from inpatients’ medical expenses decreased from 40.2% in the previous year to 28.6%, but the number of discharged patients and the number of actually used beds increased by 35.14% and 20.48% respectively. The total income of the inpatient department actually increased by 60.4% after deducting the cost of medicines. Therefore, it is believed that the traditional Chinese model of unilateral drug use by physicians is not conducive to rational drug use, and pharmacists must be involved in the clinical drug process in order to increase drug use and prevent drug abuse.