目的 收集我国三级医院临床药学服务相关数据,了解医务工作者和患者对临床药学服务的态度,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医务工作者和患者对临床药学服务基本条件、服务项目和临床药师职业的态度相关数据,并通过描述性统计分析数据。结果 各类医务工作者中,认可临床药师在临床科室中的作用者均占95%左右,认可门、急诊临床药师作用者均在70%~80%左右;对职业持乐观态度的临床药师仅占69.0%,但有兴趣成为临床药师的其他药学工作者占83.3%;对各项临床药学服务有需求的医师均占80%~90%,需要各项服务的患者均占75%~90%。结论 医院管理者、临床药师、医师、其他药学工作者和患者对三级医院临床药学服务和临床药师大多有较为积极的态度与认知。
Abstract
OBJECTIVE To obtain data related to clinical pharmacy services of tertiary hospitals, find problems within medical workers′ and patients′ attitudes towards clinical pharmacy services, based on which provide advice on policy formulation.METHODS A face-to-face interview survey was conducted to collect data on medical workers′ and patients′ attitudes towards basic conditions of service provision, service items and the career of clinical pharmacist, which was analyzed with descriptive statistics tools.RESULTS Around 95% of each type of medical workers recognize the value of the clinical pharmacists in clinical departments, and 70%-80% of each type of medical workers recognize the value of clinical pharmacists in outpatient and emergency department; only 69.0% of clinical pharmacists hold positive attitudes towards their career, while 83.3% of other pharmacy workers have intentions to enter the clinical pharmacist career; each service item is needed by 80%-90% of the physicians and 75%-90% of the patients.CONCLUSION Most hospital leaders, clinical pharmacists, physicians, other pharmacy workers and patients are holding positive attitudes towards and recognitions of clinical pharmacy services and clinical pharmacists in tertiary hospitals.
关键词
三级医院 /
临床药学服务 /
态度
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Key words
tertiary hospital /
clinical pharmacy service /
attitudes
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中图分类号:
R952
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参考文献
[1] American Society of Health-System Pharmacists. ASHP Guidelines on a standardized method for pharmaceutical care[J]. Am J Health Syst Pharm, 1996, 53(14):1713-1716.
[2] ASHP Expert Panel on Medication Cost Manageme. ASHP Guidelines on medication cost management strategies for hospitals and health systems[J]. Am J Health Syst Pharm, 2008, 65(14):1368-1384.
[3] HU J H, CAI Q, SUN J H. Pharmaceutical care and integrated pharmaceutical care[J]. Pharm Care Res (药学服务与研究), 2008, 8(3):161-165.
[4] Ministry of Health of People′s Republic of China. Regulations on pharmaceutical administration of medical institutions [J/OL]. Health & Medical Regulation Publishment (2011) NO.11. Ministry of Health of People′s Republic of China, 2011(2011-1-30), [2018-01-11]. http://www.nhfpc.gov.cn/mohyzs/s3585/201103/51113.shtml.
[5] AMERICAN SOCIETY OF HOSPITAL. ASHP Guidelines: minimum standard for pharmacies in hospitals[J]. Am J Health Syst Pharm, 2013, 70(18):1619-1630.
[6] HEPLER C D, STRAND L M. Opportunities and responsibilities in pharmaceutical care[J]. Am J Hosp Pharm, 1990, 47(3):533-543.
[7] FARRIS K B, KIRKING D M. Assessing the quality of pharmaceutical care. II. Application of concepts of quality assessment from medical care[J]. Ann Pharmacother, 1993, 27(2):215-223.
[8] KATOUE M G, AWAD A I, SCHWINGHAMMER T L, et al. Pharmaceutical care in Kuwait: hospital pharmacists′ perspectives[J]. Int J Clin Pharm, 2014, 36(6):1170-1178.
[9] PENG M. Survey of cognition and demand of pharmaceutical care among outpatient pharmacists and clinicians[J]. J Prev Med Chin PLA(解放军预防医学杂志), 2017,35(7):807-810.
[10] AZHAR S, MURTAZA G, KOUSAR R. A qualitative assessment of doctors perception towards the quality of pharmaceutical care services in khyber pakhtunkhwa, pakistan[J]. Value Health, 2014, 17(7):A752. doi: 10.1016/j.jval.2014.08.206.
[11] LI X, PING Q N. Empirical study on physician′s attitudes toward clinical pharmaceutical care and its influencing factors[J]. J China Pharm(中国药房), 2011,22(48):4519-4522.
[12] NAU D P, RIED L D, LIPOWSKI E E, et al. Patients′ perceptions of the benefits of pharmaceutical care[J]. J Am Pharm Assoc (Wash), 2000, 40(1):36-40.
[13] CHEN W Y, CAI W M, MA G. Investigation of cognition and demand of patients and their families on clinical pharmacists and pharmaceutical service[J]. Chin J Hosp Pharm(中国医院药学杂志), 2017, 37(24):2490-2495.
[14] WANG M X. Job andfunction of hospital directors in China[J]. China Hosp CEO(中国医院院长), 2006,(2):46-48.
[15] BOND C A, RAEHL C L. Clinical pharmacy services, pharmacy staffing, and hospital mortality rates[J]. Pharmacotherapy, 2007, 27(4):481-493.
[16] XI X Y, YAO D N, HUANG Y K, et al. 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]. Chin Pharm J(中国药学杂志), 2017,52(19):1746-1752.
[17] MOTT A, KAFKA S, SUTHERLAND A. Assessing pharmaceutical care needs of paediatric in-patients: a team based approach[J]. Arch Dis Child, 2016, 101(9):e2. doi: 10.1136/archdischild-2016-311535.4.
[18] LEE I H, RHIE S J, JE N K, et al. Perceived needs of pharmaceutical care services among healthcare professionals in South Korea: a qualitative study[J]. Int J Clin Pharm, 2016, 38(5):1219-1229.
[19] WOOD K, GIBSON F, RADLEY A, et al. Pharmaceutical care of older people: what do older people want from community pharmacy?[J]. Int J Pharm Pract, 2015, 23(2):121-130.
[20] ABEBE T B, ERKU D A, GEBRESILLASSIE B M, et al. Expectation and satisfaction of HIV/AIDS patients toward the pharmaceutical care provided at Gondar University Referral Hospital, Northwestern Ethiopia: a cross-sectional study[J]. Patient Prefer Adherence, 2016, 10:2073-2082.
[21] KANG J, RHEW K, OH J M, et al. Satisfaction and expressed needs of pharmaceutical care services and challenges recognized by patients in South Korea[J]. Patient Prefer Adherence, 2017, 11:1381-1318.
[22] LARSON R A. Patients′ willingness to pay for pharmaceutical care[J]. J Am Pharm Assoc (Wash), 2000, 40(5):618-624.
[23] KOUSAR R, MURTAZA G, AZHAR S, et al. Community pharmacists attitude and perceived need towards the provision of pharmaceutical care services: a qualitative approach[J]. Value Health, 2014, 17(7):A755.
[24] EL HAJJ M S, AL-SAEED H S, KHAJA M. Qatar pharmacists′ understanding, attitudes, practice and perceived barriers related to providing pharmaceutical care[J]. Int J Clin Pharm, 2016, 38(2):330-343.
[25] NGORSURACHES S, LI S C. Thai pharmacists′ understanding, attitudes, and perceived barriers related to providing pharmaceutical care[J]. Am J Health Syst Pharm, 2006, 63(21):2144-2150.
[26] WASZYK-NOWACZYK M, NOWACZYK P, SIMON M. Physicians′ and patients′ valuation of pharmaceutical care implementation in Poznan (Poland) community pharmacies[J]. Saudi Pharm J, 2014, 22(6):537-544.
[27] KELLY D V, BISHOP L, YOUNG S, et al. Pharmacist and physician views on collaborative practice: findings from the community pharmaceutical care project[J]. Can Pharm J, 2013, 146(4):218-216.
[28] YE H, ZHANG M R, XU H L. Attitude of physicians in hospitals of Shanghai towards clinical pharmacy being practised by clinical pharmacists[J]. Chin J Clin Pharm(中国临床药学杂志), 2005,14(5):310-312.
[29] HU M, ZHANG L L, JIANG X H, et al. Survey of hospital 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.
[30] KLEINMANN K. Outpatient pharmacy--new design encourages comprehensive pharmaceutical service[J]. Am J Hosp Pharm, 1972, 29(5):419-422.
[31] WITSIL J C, AAZAMI R, MURTAZA U I, et al. Strategies for implementing emergency department pharmacy services: results from the 2007 ASHP patient care impact program[J]. Am J Health Syst Pharm, 2010, 67(5):375-379.
[32] JIAN L Y, HE X J, WANG S. The consideration brought to us from the development of American clinical pharmacy [J]. China License Pharm(中国执业药师), 2013,10(10):39-43.
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脚注
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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);我国执业药师药学服务能力评估与提升研究资助(ZYYS201701ZD)
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