This paper summarizes the main achievements and the existing problems of clinical pharmacy in China since establishing the discipline. The cause which accounts for the occurrence of these problems is briefly analysed. On the basis, we suggest the way to develope clinical pharmacy in the future. The following three topics are discussed in detail:establishing related rules and regulations, trainning qualified personnel, and encouraging pharmaceutists to contact clinical work.

OBJECTIVE: To provide reference for the further implementation of national essential drug system in China. METHODS: The establishment of national essential drug system in China was reviewed to find out the problem in the implementation process. Related solutions were proposed. RESULTS & CONCLUSION: The implementation of essential drugs in China demand clarifying the legal status of essential drugs, strengthening popularity of essential drugs, improving awareness of medical staff and the public about essential drugs. Moreover, patients can be benefited in the medical institutions where essential drug system has been carried out to improving the dependence of the public to essential medicines.

Objective:To optimize the flash extraction process of Isatidis Radix by Box-Behnken experimental design. Methods:A flash extraction method was used with the extraction voltage, material-liquid ratio and extraction time as the independent variables. A Hassan’s method was used to calculate the normalized value(OD) of comprehensive evaluation of the dry extract yield and the epi-goitrin extraction rate in order to establish the mathematical relationship between the comprehensive evaluation OD and the independent variables, and the response surface method was used to predict the best process conditions. Results:The optimum process conditions were as follows:voltage of 88 V, material-liquid ratio of 19. 62, and extraction time of 2. 03 min. The rate of dry extract and epigoitrin extraction was 37. 902% and 0. 1887%, respectively. Conclusion:The measured value is close to the predicted one,which indicates the comprehensive flash extraction parameters optimized by Box-Behnken experimental design can be used for the extraction for Isatidis Radix.

OBJECTIVE:To promote the pharmacist-patient communication and make full value added to health care by pharmacists.METHODS:This article discussed the significance,characteristics and models of the communication,and analyzed the factors that obstacle the communication.RESULTS:Several suggestions about the promotion of the communication between pharmacist and patient were put forward.CONCLUSION:The communication between pharmacist and patient is very impor?tant and should be promoted greatly.

OBJECTIVE:This article discusses the development of a new commodity flow pattern,acting delivery,in Chi?nese pharmaceutical circulation.METHODS:Using comparative method to analyze the reasons,the operating framework and the present strategies on developing acting delivery.RESULTS&CONCLUSION:The new pattern of acting delivery is con?ducive to reduce pharmaceutical circulation cost,to strengthen enterprises'competitiveness and to use social resources more rationally.That is an inevitable development tendency for Chinese pharmaceutical circulation market and for following inter?national practice.

OBJECTIVE:To provide reference material for standardization of lice ns ed pharmacist's consultation service METHODS:From the angle of The Law of Pro tecting Consumer's Rights and Interests,the legal relation between pharmacist and customer,rights and duties of the two parties and fair-honest dealings wer e analysed RESULTS & CONCLUSION:In the new pharmaceutical service,the licens ed pharmacists should take public health as the focus of work,carry out consult ation service according to law,so as to promote the development of social healt h undertaking

OBJECTIVE:To strengthen the ADR monitoring in hospitals and enlarge the scope of pharmacists' profession METHODS:This article analyzes the present situation and problems existing in AD R monitoring in hospitals and discusses the possibility of pharmacists' particip ation referring to the practice in foreign countries RESULTS:It is critical to strengthen the ADR monitoring in hospitals Pharmacists have advantage in condu cting the monitoring Several suggestions were put forward CONCLUSION:It is an important responsibility for pharmacists to participate in the ADR monitoring a nd give its contribution to the cause

Malunion is one of common complications after distal radius fractures.It is indicated that malunion plays an important role in fracture recovery in many studies.This article sums up the research data,from aspects of both biomechanical analysis and follows-up of clinical cases,of domestic and foreign scholars in recent years,and reviews the influences of malunion on wrist joint functional outcome.

OBJECTIVE:To discuss the necessities and countermeasures of pharmaceutical care in the rural areas of China.METHODS:The existing difficulties of pharmaceutical care in the rural areas of China were analyzed realistically.RESULTS&CONCLUSION:In order to successfully carry out pharmaceutical care,firstly the state food and drug adminis-tration must strengthen the supervision,construct the supply network of drugs and ensure the quality of medication;secondly the pharmacists'ability must be enhanced and pharmacists'quantity increased through various of training and education;thirdly the consultation service should be carried out by specially assigned persons.Only in this way can we improve the quality of pharmaceutical care and ensure the secure,efficient and economic drug use.

OBJECTIVE:To construct retail chain pharmacy service quality evaluation model suitable for our country.ME_ THODS:SERVQUAL service quality evaluation method was adopted.RESULTS:Based on the practical condition of domestic retail chain pharmacy,24influencing indexes of which were presented and a service quality evaluation model was estab-lished.CONCLUSION:This evaluation model serves as guidance for the improvement of service level of retail chain pharmacy.