目的 收集我国三级医院临床药学服务开展现状相关数据,发现服务开展相关问题,提供政策建议。方法 以面对面访谈形式收集三级医院临床药学服务现状相关数据,并通过描述性统计分析数据。结果 86.4%的临床药师的临床药学工作占比大于40%;以医嘱审核(25.9%)、制定治疗方案(17.3%)或药学查房(15.7%)为工作重心的临床药师较多;医疗文书撰写(53.6%)、临床会诊讨论(51.7%)及药物滥用预防(27.3%)的完成度不高;96.9%的医师认可临床药师工作的临床价值,97.1%的医师采纳了临床药师的用药建议或方案;病史或用药史检查、用药指导、用药咨询和药学查房的患者覆盖率(75.3%、78.0%、76.2%和73.5%)和满意度(77.8%、81.3%、79.2%和76.1%)较高。结论 我国三级医院临床药学服务体系建设初现成效。
Abstract
OBJECTIVE To obtain data related to status quo of clinical pharmacy service provision of tertiary hospitals, find problems in clinical pharmacy service provision, based on which provide advice on policy formulation. METHODS A face-to-face interview survey was conducted to collect data on status quo of clinical pharmacy service provision of Tertiary hospitals which were analyzed with descriptive statistics tools. RESULTS The proportions of clinical pharmacy related workload to 86.4% of the clinical pharmacists are larger than 40%; relatively more clinical pharmacists focus their work on prescription checking(25.9%), therapeutic regimen(17.3%) or pharmaceutical ward round(15.7%) than other services; medical documentation(53.6%), group consultation(51.7%) and drug abuse prevention(27.3%) are less performed by clinical pharmacists than other duties; 96.9% of the physicians recognized the clinical value of clinical pharmacists′ work, and 97.1% of the physicians adopted the clinical pharmacist′s advices; medical history checking, medication guidance, medication counseling and pharmaceutical ward round are with relatively high coverage(75.3%, 78.0%, 76.2%, and 73.5%) and satisfaction(77.8%, 81.3%, 79.2%, and 76.1%) among the patients. CONCLUSION The construction of clinical pharmacy service system in tertiary hospitals in our country is beginning to obtain achievement.
关键词
三级医院 /
临床药学服务 /
开展现状
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Key words
tertiary hospital /
clinical pharmacy service /
status quo of service provision
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中图分类号：
R952
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基金
中国药科大学药学基地科研训练及科研能力提高项目资助(J1310032)
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