重庆市39家医疗机构临床药学服务发展现状的调查研究
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篇名: 重庆市39家医疗机构临床药学服务发展现状的调查研究
TITLE:
摘要:
摘 要 目的了解重庆市等级医疗机构临床药学工作的开展状况探讨优化我市临床药学服务的方法方法采用问卷调查的 方式按照地域医疗机构级别兼顾综合与专科医院选取重庆市50家样本医疗机构包括15家三级医院25家二级医院和10一级医院),对其临床药师队伍及临床药学工作开展状况等进行调查并对结果进行统计分析找到共性问题并提出相关建议果与结论共回收45份调查问卷回收率90其中合格问卷39合格率86.6739家医疗机构中设置临床药学部门的有32 82.05)、临床药师培训基地医院有410.26)。39家医疗机构均配有专职药师共计239平均每家医疗机构6.13人从 事临床药学工作其中专职临床药师4.5/多数医疗机构专职临床药师为2~525);临床药师主要参与工作的临床科室 占比排序前5位依次为呼吸科心血管科内分泌科重症医学科ICU)、肿瘤科大部分临床药师1642.11在临床的工作时 间占比为>50~≤80在开展的临床药学项目方面以开展药品不良反应监测合理用药知识宣传处方医嘱点评查房编辑出版药讯的医疗机构数量较高28~37>70.00)。2878.95暂未开展治疗药物监测项目39100医疗机 构均开展了患者用药教育工作以宣传栏3078.95)、科普讲座2873.68和用药教育表2873.68的形式较多用药教育内容以注意事项39100)、用法用量3797.37)、不良反应3694.74为主29家医院开展了临床药学科
研工作73.68),以合理用药研究2873.68为主512.82医疗机构开设了联合药学门诊25.12开设了独立药 学门诊其余均未开设药学门诊2666.67)。本次调查发现药学服务存在科室病区床位覆盖不全药学部门科研基础薄弱等 问题建议国家和地方卫生健康委员会可采取加强多层次临床药学人才梯队建设探索培养驻科临床药师评选和建设重庆市临 床药学重点专科建立临床药师激励机制等方式各级医疗机构可采取多途径加快临床药师培养增加药师门诊宣传改变病区工 作模式培养特色专科临床药师完善继续教育途径及路径增强科研实力等方式提高临床药学服务水平
ABSTRACT:
ABSTRACT OBJECTIVETo investigate the present situation of clinical pharmacy in different levels of medical institutions in
Chongqingand to investigate the method for optimizing clinical pharmaceutical care. METHODSBy questionnaire survey50
sample medical institutionsincluding 15 third level hospitals25 second level hospitals and 10 first level hospitalsin Chongqing were selected according to the regionthe level of medical institutionscomprehensive and specialized hospitals. The team of clinical pharmacists and the development of clinical pharmacy were investigatedand the results were statistically analyzed to find common problems and put forward relevant suggestions. RESULTS & CONCLUSIONSTotally 45 questionnaires were collectedwith a recovery rate of 90of which 39 questionnaires were qualifiedwith a qualified rate of 86.67. There were 32 hospitals 82.05in 39 medical institutions with clinical pharmacy departments and 4 hospitals10.26with clinical pharmacist training base. There were 239 full-time pharmacists in 39 medical institutionswith an average of 6.13 persons in each medical institutionincluding 4.5 full-time clinical pharmacistsand 2-5 full-time clinical pharmacists25 hospitalsin most medical institutions. Top 5 clinical departments that clinical pharmacists mainly participated in were respiratory departmentcardiovascular departmentendocrinology departmentICU and oncology department. Most of the clinical pharmacists16 hospitals42.11worked in the clinic for more than 50to no more than 80. The number of medical institutions28-37>70.00carrying out ADR monitoringrational drug use knowledge publicityprescription and medical order commentward roundconsultationediting and publishing drug information was relatively high. 28 medical institutions78.95did not carry out the test of therapeutic drugs39100medical institutions had carried out the education of patientsdrug usein the form of billboards30 hospitals78.95),science lectures28 hospitals73.68and drug education forms28 hospitals73.68The contents of drug use education mainly included precautions39 hospitals100),usage and dosage37 hospitals97.37), ADR36 hospitals94.74. 29 hospitals had carried out clinical pharmaceutical research73.68),mainly rational drug use research28 hospitals73.68);5 medical institutions12.82had set up joint pharmacy outpatient service25.12had set up independent pharmacy outpatient servicethe rest had not set up pharmacy outpatient service26 hospitals66.67. In this surveyit is found that there are some problemssuch as incomplete coverage of beds in the ward in pharmaceutical careweak foundation of scientific research in pharmaceutical departments. It is suggested that the national and local health committees should strengthen the construction of multi-level clinical pharmacy talent echelonexplore and train resident clinical pharmacistsselect and build key clinical pharmacy specialties in Chongqingand establish incentive mechanism for clinical pharmacists. Medical institutions at all levels can adopt multiple ways to accelerate the training of clinical pharmacistsincrease the publicity of pharmacistsoutpatient servicechange the working mode of the wardcultivate special clinical pharmacistsimprove the ways and paths of continuing educationand enhance the strength of scientific research to improve the level of clinical pharmaceutical care.
期刊: 2020年第31卷第1期
作者: 万素馨,方 伟,黄道秋,孙秋艳,邓礼娟,陈 晨
AUTHORS: WAN Suxin,FANG Wei,HUANG Daoqiu,SUN Qiuyan,DENG Lijuan,CHEN Chen
关键字: 医疗机构;临床药学;发展现状;问卷调查
KEYWORDS: Medical institutions;Clinical pharmacy;Present situation;Questionnaire survey
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