国内63家“三甲”医院临床药师科研现状的调查分析
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篇名: 国内63家“三甲”医院临床药师科研现状的调查分析
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摘要: 目的:了解国内“三甲”医院临床药师开展相关科研的现状,并探讨其可行的科研思路。方法:对国内63家“三甲”医院315名已获得临床药师证书的临床药师就其科研现状进行问卷调查,收集问卷数据采用IBM SPSS Statistics 22.0软件进行统计和分析。结果:共发放问卷315份,回收有效问卷282份,有效回收率为89.52%。科研态度方面,受访临床药师认为非常需要和需要进行科研的比例超过70%;除其学位外(P<0.05),其性别、年龄、职称不同均未导致其在科研态度上的差异(P>0.05)。科研现状方面,受访临床药师科研成果相对单一,认为开展科研最大的困难是实验条件达不到;因性别不同其近五年获授权专利数表现出了统计学上的差异(P<0.05),因学位不同其近五年申请获批基金数、获授权专利数和论文发表数均表现出了统计学上的差异(P<0.05),因年龄和职称不同其近五年申请获批院外基金数(职称还与院内基金数相关)和发表于国内杂志论文数均表现出了统计学上的差异(P<0.05)。科研方向方面,受访临床药师多数认为应积极加强与医师沟通,寻找切入点,且认为最佳切入点是临床研究;无论性别、学位、年龄、职称其选择的科研方向均基本相似(P>0.05)。能力提升方面,受访临床药师认为最需要提升文献查阅能力、循证文献/实验解读能力和外语阅读能力;除性别外,无论学位、年龄、职称其对需要提升文献查阅能力和循证文献/实验解读能力的认识均相似(P>0.05),而因性别、学位、年龄、职称不同其对需要提升外语阅读能力的认识均表现出了统计学上的差异(P<0.05)。结论:受访临床药师因性别、学位、年龄、职称不同在科研态度、科研现状、科研方向和能力提升方面有一定的差异,但也存在共同点。为了提高临床药师的科研能力和促进临床药学的学科发展,医院药学管理者应该提高对临床药师的学位和职称要求,同时提供必要的科研平台和针对性的科研能力培训。另外,临床药师的科研思路除目前的合理用药、循证药学、药物经济学外,还可以从药学服务、药物治疗决策、转化医学和医药学大数据中寻找新的切入点。
ABSTRACT: OBJECTIVE: To explore the present situation of scientific research of clinical pharmacists in domestic third-grade class A hospitals, and discuss its feasible research ideas. METHODS: Questionnaire was conducted for the scientific research situation of clinical pharmacists who obtained the certification in domestic 63 third-grade class A hospitals, the questionnaire data was collected, and data was statistically analyzed by using IBM SPSS Statistics 22.0 software. RESULTS: Totally 315 questionnaires were sent out, 282 were effectively received, with effective recovery of 89.52%. In terms of attitude to scientific research, proportion of the surveyed clinical pharmacists who thought it was quite necessary and necessary was more than 70%; except for academic degree(P<0.05), the different gender, age and job title did not cause the differences in scientific research attitude (P>0.05). In terms of the present situation of scientific research, achievements of them were relatively simple, thinking the biggest difficulty was insufficient of experiment condition; there was significant difference in the numbers of authorized patents in recent 5 years by different gender (P<0.05), the numbers of applications for approved funds, authorized patents and paper published in recent 5 years by different academic degrees (P<0.05), as well as the numbers of applications for approved off-campus funds (title also related to the number of hospital funds) and the numbers of paper published in domestic magazine in recent 5 years by different ages and job titles (P<0.05). In terms of direction of scientific research, most of surveyed clinical pharmacists thought they should strengthen communicate with physicians and look for the breakthrough point, they also thought the optimal one was clinical research; the direction selection was basically similar no matter the gender, academic degree, age and job title (P>0.05). In terms of ability enhancement, the surveyed pharmacists thought literature review, evidence-based literature/experimental interpretation and foreign language reading were the abilities most need to be enhanced; except for gender, academic degree, age and job title showed similarity in enhancing the literature review, evidence-based literature/experimental interpretation ability (P>0.05), while there were significant differences in enhancing foreign language reading ability by different gender, academic degree, age and job title (P<0.05). CONCLUSIONS: Clinical pharmacists show certain differences in the attitude to scientific research, present situation and direction of scientific research, and ability enhancement because of different gender, academic degree, age and job title, but there are also common. In order to improve the competence of scientific research and promote the discipline development of clinical pharmacy, pharmacy administrator in hospital should improve the academic degree and job title on clinical pharmacists and provide necessary advanced scientific platform and pertinent training at the same time. Additionally, except for the rational drug use, evidence-based pharmacy and pharmacoeconomics, clinical pharmacists can find new breakthrough point from pharmaceutical care, drug treatment decisions, translational medicine and medicine large data.
期刊: 2017年第28卷第6期
作者: 黄金柱,胡小刚,卢来春,管海燕
AUTHORS: HUANG Jinzhu,HU Xiaogang,LU Laichun,GUAN Haiyan
关键字: 临床药学;临床药师;科研;现状;调查;思路
KEYWORDS: Clinical pharmacy; Clinical pharmacists; Scientific research; Present situation; Investigation; Ideas
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