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(二)——临床药学工作开展状况  

Investigation of Pharmacy Team and Relevant Work in Grades Medical Institution of Sichuan Province(two):Situation of Clinical Pharmacy Work

作　　者：闫峻峰[1] 张敏[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]电子科技大学附属医院/四川省人民医院药学部,成都610072 [2]四川省卫生和计划生育委员会药政处,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》2015年第33期4613-4616,共4页China Pharmacy

基　　金：四川省卫生厅科研课题(No.120120)

摘　　要：目的:了解四川省等级医疗卫生机构临床药学工作开展状况,为促进其进一步规范化开展提供依据。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,兼顾综合与专科医院,选取其中73家样本医疗卫生机构就其临床药学队伍与开展相关工作状况进行调查,并对结果进行统计分析。结果:共回收56家医疗卫生机构的调查表,回收率是76.71%。设置临床药学部门的占76.78%,设置专职临床药师的占46.42%,低于全国平均水平;平均每家医疗卫生机构有从事临床药学工作的人员2.14人,低于全国平均水平;临床药师主要参与工作的临床科室按所占比例排序前5位为呼吸科、肿瘤科、内分泌科、心血管科、妇产科;临床药师在临床药物选择中主要起建议和辅助作用;在开展的临床药学项目中,开展药品不良反应监测、处方医嘱点评、抗菌药物监测、药物治疗管理、临床药师查房、用药教育、药物信息咨询等服务的比例较高,在75.00%以上,开展治疗药物监测的比例最低,只有21.15%,与全国平均水平基本一致,开展临床药学科研工作的有28.83%。结论:临床药师数量严重不足制约了临床药学工作的开展,因此扩大对患者的覆盖面应作为临床药学工作的重点,个体化给药方案制订是其重要发展方向,加强静脉药物集中配置工作的开展是推进临床药学工作的有效途径。OBJECTIVE：To know the situation of clinical pharmacy work in grades medical institutions of Sichuan province,and provide evidence for promoting the further standardized implementation. METHODS：Related questionnaires were adopted.Grades medical institutions in Sichuan province were selected as subjects,and clinical pharmacy team and relevant work in 73 of them were investigated based on the regions,grades of medical institutions,and principles of taking into account both the integrated and specialist,and the results were statistically analyzed. RESULTS：Totally 56 medical institutions were received with record rate of 76.71%. 76.78% had clinical pharmacy departments and 46.42% had full-time clinical pharmacists,which was below the national average;average hospital personnel engaged in clinical pharmacy was 2.14,which was below the national average;the top 5clinical departments that clinical pharmacists mainly participated were respiratory department,oncology department,endocrinology department,cardiology department,obstetrics and gynecology department;pharmacists in clinical drug choice mainly played a role in recommendations and supporting;adverse reactions monitoring,prescription orders reviews,antibiotics monitoring,medication management,wards for clinical pharmacists,drug education,drug information and consulting service were higher than 75.00%,therapeutic medicines monitoring showed the lowest percentage of 21.15%,which was consistent with the national average;28.83% had clinical pharmacy research work. CONCLUSIONS：Serious shortage of clinical pharmacists restricted the implementation of clinical pharmacy work,expanding the coverage of patients should be the key of clinical pharmacy work,implementation of individualized dosing regimen is the important development direction,and implementation of strengthening intravenous medicines centralized configuration is the effective way to promote clinical pharmacy work.

关 键 词：医疗卫生机构 临床药学 开展状况 调查 

分 类 号：R195[医药卫生—卫生统计学] R95[医药卫生—卫生事业管理]