Core Viewpoint - The pharmacy department in hospitals has undergone significant changes, shifting from a profit center to a cost center and now to a department focused on compliance with various drug-related assessments and regulations [2][30]. Group 1: Changes in Pharmacy Department's Role - The pharmacy department was once a key profit center for hospitals but transformed into a cost center after the cancellation of drug markups in public hospitals in 2017 [2][30]. - The department now faces a multitude of drug-related assessment indicators, such as antibiotic usage intensity and basic drug ratio, complicating its operational landscape [3][4]. - The pharmacy department's responsibilities have expanded to include compliance with both clinical needs and regulatory requirements, creating a complex work environment [4][6]. Group 2: Challenges Faced by Pharmacy Departments - Pharmacy department heads, like Wang Jun, report feeling overwhelmed by the increasing number of policies and assessments they must navigate, often leading to conflicts between clinical needs and regulatory demands [6][9]. - Issues such as drug shortages, particularly for commonly used medications, have become a frequent challenge, leading to patient complaints and added pressure from hospital administration [8][9]. - The pharmacy department must balance various conflicting demands from regulatory bodies, clinical staff, and patients, making their role increasingly complex [17][19]. Group 3: Evolving Assessment Metrics - The performance assessment metrics for pharmacy departments have become more detailed and stringent, with a focus on antibiotic usage and cost management [14][15]. - The introduction of new metrics, such as the average drug cost per outpatient/inpatient, has added to the pressure on pharmacy departments to manage costs effectively while ensuring compliance [15][22]. - The shift in focus from drug ratios to cost metrics reflects a broader trend in healthcare towards more comprehensive performance evaluations [15][22]. Group 4: Future Implications - The pharmacy department's role is evolving from a cost center to a compliance support function, emphasizing the need for effective communication and professional knowledge to navigate complex regulations [26][30]. - As the healthcare landscape continues to change, pharmacy departments must adapt to new policies and assessment criteria, which may lead to further challenges in drug management and patient care [30].