四川省等级医疗卫生机构药学队伍与开展相关工作状况调查(一)——医院药学一般状况  

Pharmacy Team and the Development of Relevant Work in Different Levels of Medical Institutions from Sichuan Province (part1):General Information of Hospital Pharmacy

作　　者：闫峻峰[1] 李晋奇[1] 童荣生[1] 李刚[1] 龙恩武[1] 陈鸣[1] 肖红涛[1] 江涛[2] 程静 

机构地区：[1]四川省医学科学院/四川省人民医院药学部,成都610072 [2]四川省卫生厅药政处,成都610041 [3]四川省基本药物采购服务中心,成都610041

出　　处：《中国药房》2014年第28期2599-2603,共5页China Pharmacy

基　　金：四川省卫生厅基金资助项目(No.120120)

摘　　要：目的:了解全省等级医疗卫生机构药学队伍与相关工作开展状况,为卫生行政部门规范化管理提供依据。方法:采用相关调查表,以四川省不同等级医疗卫生机构为调查对象,按照地域、医疗卫生机构级别、综合与专科兼顾原则,选取其中73家样本医疗卫生机构就其药学队伍与相关工作开展状况进行调查,并对结果进行统计分析。结果:调查表的上报率是76.71%。全省药学部门工作人员中非药学专业技术人员占7.53%,而在药学专业技术人员中,本科和专科学历占69.33%,职称以初级及以下人员为主(65.62%);药学部门负责人学历以本科和专科学历为主(71.42%);从事临床药学人员职称偏低,以初级及以下人员为主;全省医疗卫生机构药学部(科)内部部门设置还是以传统部门为主,设置静脉用药集中调配室(包括全胃肠外营养输液、危害药品配制)的医疗卫生机构非常少(8.93%);管理制度建设存在薄弱环节,如建立用药错误报告制度的只有66.00%;配备临床药学相关设备占比非常低,如拥有全自动标记免疫发光分析仪(AXSYM)和药物测试系统(Viva-E)的医疗卫生机构的比例分别只有3.57%和5.36%;在药房自动化设备方面中几乎是空白。结论:建议建立医疗卫生机构药学队伍准入制,逐步减少非药学专业技术人员;建立全省医疗卫生机构药师规范化培训制度,提升药学人员专业技术职称;加强临床药学硬件设备及药学信息化、自动化建设,提升药学技术服务水平。OBJECTIVE：To investigate pharmacy teams and related work in different levels of medical institutions from Sichuan province,and to enhance standardized management of health department. METHODS：Taking different levels of medical institutions from Sichuan province as subjects,73 sample hospitals were selected and investigated by questionnaire survey in filed of pharmacy team and related work,in accordance with regions,levels of hospitals,taking general hospital and special hospital into account. The results of survey were analyzed statistically. RESULTS：A total of 76.71% questionnaires were sent back from sample hospitals. non-pharmacy technicians accounted for 7.53%;among hospital pharmacy technicians,college or bachelor accounted for69.33%;most of them were primary professional titles or below（65.62%）;the director of pharmacy department mainly were college or bachelor（71.42%）;the professional titles of pharmacy staff were in low level,mainly were primary professional titles or below;the sections of pharmacy department across the province was still dominated by traditional sectors,and PIVAS（including TPN,harms drug dispensing）was set in few medical institutions（8.93%）;There were weak link in the system constructions,such as only 66.00% had medication errors reporting system;related equipments of clinical pharmacy accounted for low proportions,such as only 3.57% and 5.36% had automatic tags Analyzer（AXSYM）and drug-testing system（Viva-E）,respectively. The pharmacy automation equipment was virtually nonexistent. CONCLUSIONS：It is suggested to establish pharmacy team access system,reduce non-pharmacy technician gradually;establish the provincial pharmacist standardization training system in medical institutions,and enhance professional technical title;strengthen clinical pharmacy hardware device,information and automation construction of hospital pharmacy,and enhance the pharmaceutical technology service level.

关 键 词：医疗卫生机构 药学队伍 药学工作 调查 

分 类 号：R95[医药卫生—药学] R195