江苏省28家医院临床药学工作开展现状调查
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篇名: 江苏省28家医院临床药学工作开展现状调查
TITLE:
摘要: 目的:了解江苏省主要医院临床药学工作开展现状,为促进临床药师制建设、发挥临床药师在合理用药和药学服务方面的积极作用提供参考。方法:采用电子邮件方式发放调研表,对江苏省医学会临床药学分会的28位委员(分别来自28家医院)进行临床药学工作开展现状调查,并对有关数据及结果进行统计和分析。结果:共发放调研表28份,回收有效调研表28份,有效回收率为100%。28家受访医院中综合性医院有25家,“三甲”医院有26家。共有专兼职临床药师312名,平均每家受访医院有7.32名专职临床药师和3.82名兼职临床药师;专职临床药师硕士学历、中级职称的比例均显著高于兼职临床药师(P<0.05)。专职临床药师中经培训获得临床药师资质的共有144人(占70.24%);13家具有国家卫计委临床药师培训基地资格的受访医院平均师资人数为3.77人,5家具有省级临床药师培训基地资格的受访医院平均师资人数为5.80人,1家具有国家卫计委临床药师师资培训基地资格的受访医院师资人数为5人。受访医院开展临床药学相关工作以参与日常医师查房、参与医嘱和处方点评、对抗菌药物进行专项点评、书写药历、药学信息服务、门诊药物咨询和药品不良反应监测的比例最高,均为100%,而以专家咨询门诊比例最低(占10.71%),其他比例较低的项目有开设手麻科药房(占28.57%)、社区药学服务(占57.14%)、药物基因组学检测(占46.43%)和参与管理药物临床试验(占53.57%)等;培训基地医院临床药学各项工作开展比例总体高于非培训基地医院,受访省级临床药师培训基地医院抗肿瘤药物、激素类药物和血液制品专项点评及专家咨询门诊、开设手麻科药房、社区药学服务、药物基因组学检测、参与管理药物临床试验等项开展比例与受访医院比较,差异均有统计学意义(P<0.05);平均每家省级临床药师培训基地医院与平均每家受访医院比较,在专科会诊次数、病案分析例次、住院病患注射剂医嘱审核份数、静脉配置医嘱审核条数、门诊处方审核张数、治疗药物监测品种和例数以及药物基因组学检测例数上,差异均有统计学意义(P<0.05)。结论:江苏省“三甲”综合性医院临床药师队伍建设有待加强,兼职临床药师还需加速转型,同时临床药学相关工作开展水平尚待进一步提高。
ABSTRACT: OBJECTIVE: To know the status quo of clinical pharmacy in main hospitals of Jiangsu province primarily, and to provide reference for promoting the construction of clinical pharmacist system and playing active role of clinical pharmacists on rational drug use and pharmaceustical care. METHODS: A mailed questionnaire investigation was conducted among 28 committee members (coming from 28 hospitals) of the Clinical Pharmacy Branch of the Medical Association in Jiangsu Province regarding the status quo of the clinical pharmacy practice, and the correlated data and results were summarized to statistical analysis. RESULTS: A total of 28 questionnaires were distributed and 28 valid questionnaires were collected, with recovery rate of 100%. Among 28 hospitals, there were 25 general hospitals and 26 third grade class A hospitals. There were 312 full-time and part-time clinical pharmacists; there were 7.32 full-time clinical pharmacists and 3.82 part-time clinical pharmacists in each visited hospital; the proportion of full-time clinical pharmacists with master’s degree and intermediate title was significantly higher than that of part-time clinical pharmacists (P<0.05). There were 144 full-time clinical pharmacists who had been trained to obtain clinical pharmacists qualifications (70.24%).  In 13 hospitals with the qualification of clinical pharmacist training base of National Health and Family Planning Commission (NHFPC), the average number of teachers was 3.77; in 5 hospitals with the qualification of provincial clinical pharmacist training base, the average number of teachers was 5.80; in a hospital with the qualification of clinical pharmacist training base of NHFPC, the number of teachers was 5. The surveyed hospital had the highest proportion of clinical pharmacy related work to participate in daily physician rounds, doctor’s advice and prescription review, special review of antibiotics, drug record writing, pharmaceutical information service, outpatient drug consultation and ADR monitoring, all being 100%. Expert consultation clinic occupied the lowest proportion of clinical pharmacy work (10.71%). Setting up pharmacy for operation and anaesthesia department (28.57%), community pharmaceutical care (57.14%), pharmacogenomic testing (46.43%) and participating in the management of drug clinical trials (53.57%) occupied the lower proportion of clinical pharmacy related work. The proportion of clinical pharmacy work in training base hospital was higher than that non-training base hospital. Compared to surveyed hospitals, there was statistical significance in the proportion of special review for antineoplastic drugs, hormone drugs and blood products, expert consultation, setting up pharmacy for operation and anaesthesia department, community pharmaceutical care, pharmacogenomic testing and participating in the management of drug clinical trials in provincial clinical pharmacist training base(P<0.05). There was statistical significance in the number of specialist consultation, case analysis, inpatient injection medical orders, check pharmacy intravenous admixture medical orders and checked outpatient prescriptions, varieties and number of monitored therapeutic drugs as well as case number of pharmacogenomic testing(P<0.05). CONCLUSIONS: It is suggested to strengthen the construction of clinical pharmacist team in third grade class A hospital in Jiangsu province, accelerate the transition of part-time clinical pharmacists, at the same time, further improve the development of clinical pharmacy related work.
期刊: 2017年第28卷第24期
作者: 周盈莹,杨燕,孟玲,王永庆
AUTHORS: ZHOU Yingying,YANG Yan,MENG Ling,WANG Yongqing
关键字: 江苏省;临床药学;临床药师;现状;调查;建议
KEYWORDS: Jiangsu province; Clinical pharmacy; clinical pharmacist; Status quo; Investigation; Suggestion
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