我国三级医院临床药学服务现状及问题研究(一):研究简介及临床药学服务基本条件分析

席晓宇, 姚东宁, 黄元楷, 王筱婧, 王一涛, 姚文兵

中国药学杂志 ›› 2017, Vol. 52 ›› Issue (19) : 1746-1752.

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中国药学杂志 ›› 2017, Vol. 52 ›› Issue (19) : 1746-1752. DOI: 10.11669/cpj.2017.19.019
论著

我国三级医院临床药学服务现状及问题研究(一):研究简介及临床药学服务基本条件分析

  • 席晓宇1, 姚东宁2, 黄元楷1, 王筱婧3, 王一涛2, 姚文兵1*
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National Survey on Clinical Pharmacy Services of Tertiary Hospitals in China: Part 1. Introduction of Survey and Basic Conditions of Clinical Pharmacy Service Provision

  • XI Xiao-yu1, YAO Dong-ning2, HUANG Yuan-kai1, WANG Xiao-jing3, WANG Yi-tao2, YAO Wen-bing1*
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摘要

目的 收集我国三级医院临床药学服务相关数据,发现服务体系建设现存问题,提供相关政策建议。方法 采用面对面访谈的形式收集三级医院临床药学服务管理体系、硬件设施配备和专业人员配置等相关数据,并通过描述性统计分析数据。结果 59.7%的样本医院建立了临床药师绩效考核制度;18.4%对临床药学服务收费;30.0%为临床药师提供专用办公地点;平均百张病床仅配备药学专业技术人员5.6人、临床药师0.43名;药学专业技术人员学历集中于本科(51.5%)及以下(28.7%),职称集中于初级(53.1%)和中级(33.4%);药品调剂仍是药学专业技术人员主要工作(67.4%)。结论 我国三级医院临床药学服务制度建设、硬件设施配备及人员配置仍需进一步改善。

Abstract

OBJECTIVE To obtain data related to clinical pharmacy services of Tertiary hospitals, find problems in the service system, based on which provide advice on policy formulation. METHODS A face-to-face interview survey was conducted to collect data on management system construction, hardware & facility equipment and professional staffing, et al which was analyzed with descriptive statistics tools. RESULTS Only 59.7% of the hospital within the sample established clinical pharmacist performance appraisal systems; 18.4% of the hospital's clinical pharmacy services were charged; 30.0% of the hospitals provided offices for clinical pharmacists; each 100 beds were equipped with an average of 5.6 technical professionals and an average 0.43 clinical pharmacists; most of the professionals' educational background were undergraduate (51.5%) and below undergraduate (28.7%), and most of the professionals'professional titles were primary (53.1%) and intermediate (33.4%); dispensing remained main duty of pharmaceutical professionals(67.4%).CONCLUSION Management system construction, hardware & facility equipment and professional staffing of tertiary hospitals in China require further improvement.

关键词

三级医院 / 临床药学服务 / 基本条件

Key words

tertiary hospital / clinical pharmacy service / basic conditions

引用本文

导出引用
席晓宇, 姚东宁, 黄元楷, 王筱婧, 王一涛, 姚文兵. 我国三级医院临床药学服务现状及问题研究(一):研究简介及临床药学服务基本条件分析[J]. 中国药学杂志, 2017, 52(19): 1746-1752 https://doi.org/10.11669/cpj.2017.19.019
XI Xiao-yu, YAO Dong-ning, HUANG Yuan-kai, WANG Xiao-jing, WANG Yi-tao, YAO Wen-bing. National Survey on Clinical Pharmacy Services of Tertiary Hospitals in China: Part 1. Introduction of Survey and Basic Conditions of Clinical Pharmacy Service Provision[J]. Chinese Pharmaceutical Journal, 2017, 52(19): 1746-1752 https://doi.org/10.11669/cpj.2017.19.019
中图分类号: R952   

参考文献

[1] BRODIE D C, BENSON R A. The evolution of the clinical pharmacy concept [J]. Drug Intell Clin Pharm, 1976, 10(9): 506-510.
[2] HEPLER C D, STRAND L M. Opportunities and responsibilities in pharmaceutical care [J]. Am J Hosp Pharm, 1990, 47(3): 533-543.
[3] ASHP guidelines on a standardized method for pharmaceutical care. American Society of Health-System Pharmacists [J]. AJHP, 1996, 53(14): 1713-1716.
[4] ZHU Z, SHANG N. An Overview of Process Change of Pharmaceutical Care in United States [J]. China Pharmacist(中国药师), 2015,18(9):1571-1573.
[5] JIANG R, CHEN Y F, SHAO R, et al. Improve the level of pharmaceutical service of social drug stores and promote rational drug use [J].Shanghai Med Pharm J(上海医药), 2009, 30(1):29-31.
[6] LEE P R. The family pharmacist [J]. J Am Pharm Associat, 1976, 16(7): 396-397.
[7] ZHONG Z H, LIU X. Clinical Pharmacy in China: yesterday, today, and tomorrow [J]. China Prescr Drug(中国处方药), 2009,4:22-25.
[8] LI X P, SHAO H, YANG S,et al. Using Analytic Hierarchy Process to determine the weights of indicators of quantitative assessment system on clinical pharmacy [J]. China Pharmacist(中国药师), 2008,(8):958-960.
[9] ZHANG S H, WANG H H, HUANG W Q,et al. Analysis and exploration of implementation of drug counseling by a tertiary hospital to reinforce the work of pharmaceutical care [J]. Anhui Med Pharm J(安徽医药), 2009,13(9):1132-1133.
[10] LI J, HE W M, ZHANG H L,et al. Survey on needs of community pharmaceutical care from hospital [J]. J China Pharm(中国药房), 2009, 20(28):2201-2203.
[11] HUANG X M, HUANG W J, WANG Z W,et al. Investigation and analysis on cognitive status of patients on pharmacy care [J]. China Pharm(中国药业), 2015,24(16):105-107.
[12] HE Z W, LAI B, ZHU Z M,et al. Survey of current situation of hospital pharmaceutical services in 50 hospitals in Maoming area [J].Asia-Pacific Tradit Med(亚太传统医药), 2014, 10(7):133-135.
[13] XING Y, LI X. Investigation and analysis on current situation of implementation of clinical pharmacy among tertiary polyclinics [J]. Acta Univ Med Nanjing(Soc Sci)(南京医科大学学报:社会科学版), 2016, 16(1):10-14.
[14] ZHANG C L. Survey and analysis on current situation of implementation of clinical pharmacy among tertiary polyclinics [J]. J Clin Med Liter(Electr Ed)(临床医药文献电子杂志), 2016, 3(22):4390-4392.
[15] HU M J, XU H, WU Y P,et al. Survey of status quo of hospital pharmaceutical services and clinical pharmacy in China(part 1): general situation of hospital pharmaceutical services [J]. J China Pharm(中国药房), 2009, 20(1):72-74.
[16] HU M, JIANG X H, WU Y P,et al. Survey on hospital pharmaceutical care in China and the status quo of clinical pharmacy practice(part 2): survey on status quo of clinical pharmacy practice[J]. J China Pharm(中国药房), 2009,20(13):1030-1032.
[17] HU M, ZHANG L L, JIANG X H,et al. Survey of pharmaceutical care in China and the status quo of clinical pharmacy practice(part 3): attitude of the personnel involved in clinical pharmacy [J]. J China Pharm(中国药房), 2009, 20(16):1278-1280.
[18] BERENGUER B, LA CASA C, DE LA MATTA M J, et al. Pharmaceutical care: past, present and future [J]. Curr Pharm Des, 2004, 10(31): 3931-46.
[19] AMERICAN COLLEGE OF CLINICAL P.The definition of clinical pharmacy [J]. Pharmacotherapy, 2008, 28(6): 816-817.
[20] Minimum practice standards for clinical pharmacy specialists with interpretation for organized health-care settings. Clinical Practice Affairs Committee of the American College of Clinical Pharmacy, 1985-86 [J]. Drug IntellClin Pharm, 1987, 21(7-8): 645-647.
[21] Practice guidelines for pharmacotherapy specialists. A position statement of the American College of Clinical Pharmacy.The ACCP Clinical Practice Affairs Committee, 1989-1990 [J]. Pharmacotherapy, 1990, 10(4): 308-311.
[22] Template for the evaluation of a clinical pharmacist. American College of Clinical Pharmacy [J]. Pharmacotherapy, 1993, 13(6): 661-667.
[23] ASHP guideline: minimum standard for pharmaceutical services in ambulatory care. American Society of Health-System Pharmacists [J]. AJHP, 1999, 56(17): 1744-1753.
[24] AMERICAN SOCIETY OF HOSPITAL P. ASHP guidelines: minimum standard for pharmacies in hospitals [J]. AJHP, 2013, 70(18): 1619-1630.
[25] Sun Z Q, Medical Statistics(医学统计学)[M]. Beijing: People's Medical Publishing House, 2011:1.
[26] BOND C A, RAEHL C L. Clinical pharmacy services, pharmacy staffing, and hospital mortality rates [J]. Pharmacotherapy, 2007, 27(4): 481-193.
[27] LEXCHIN J, GROOTENDORST P. Effects of prescription drug user fees on drug and health services use and on health status in vulnerable populations: A systematic review of the evidence [J]. Int J Health Ser, 2004, 34(1): 101-122.
[28] XIE H Y L X F, LI J T,et al. Value of pharmaceutical care of pharmacists in pharmaceutical services fee [J]. China Pharmacy(中国药房), 2011,22(17): 1550-1552.
[29] FARRIS K B, KIRKING D M. Assessing the quality of pharmaceutical care.Ⅱ. Application of concepts of quality assessment from medical care [J]. Annals Pharmacother, 1993, 27(2): 215-223.

基金

国家自然科学基金资助项目[中国药科大学药学基地科研训练及科研能力提高项目(J1310032)];国家食品药品监督管理总局执业药师资格认证中心项目[我国执业药师药学服务能力评估与提升研究(ZYYS201701ZD)]
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