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作 者:彭官良[1,2] 韩勇[3] 张书银[2] 奚炜[2] 金桂兰[2]
机构地区:[1]武汉大学药学院,湖北武汉430071 [2]三峡大学人民医院.宜昌市第一人民医院,湖北宜昌443000 [3]华中科技大学同济医学院附属协和医院药学部,湖北武汉430022
出 处:《中国医院药学杂志》2016年第2期81-84,共4页Chinese Journal of Hospital Pharmacy
基 金:华中科技大学自主创新研究基金重点专项项目(编号:2015ZHYX014)
摘 要:目的:通过相关的文献分析,探讨我国药学会诊工作的发展状况和存在的问题,为临床药师从事药学会诊工作提供参考。方法:检索1989—2014年中国期刊网全文数据库(CNKI)、万方医学数据库、维普数据库药学会诊相关文献,利用Excel表格进行汇总分析。结果:共得到文献148篇,文献量呈逐年增长趋势,大部分文献发表在2009年以后,2009—2014年文献量共134篇,占总文献量的90.5%;个案实践体会类文献数量最大,占总文献量的55.4%,汇总回顾分析类文献近年来增幅较快;三级医院文献121篇,占总文献量的81.8%,明显高于二级医院;文献第一作者大部分具有中、高级专业技术职称,相对集中在江苏、广东、北京、上海、湖南、四川等经济较发达和医疗水平较高的区域;大部分文献发表在药学核心期刊上,中国科技核心期刊收录的文献占总文献量的62.6%;文献中涉及的案例会诊内容不广泛,主要以抗菌药物为主。结论:我国药学会诊工作起步较晚,前期发展缓慢,但从2010年后发展比较迅速,临床药师会诊工作的能力和水平逐年提高,药学会诊工作逐渐得到了医院管理层面和临床医师的支持和认可,但药学会诊工作的广度和深度均需加强,相关文献的研究水平有待提高。OBJECTIVE Through relevant literature analysis, to understand development situation and existing problems of pharmacy consultation in our country, and provide reference for clinical pharmacists working in pharmacy consultation. METH- OIlS China Journal full-text database (CNKI), Wanfang medical database and VIP database were retrieved for pharmacy con- sultation related literatures form 1989 to 2014, and Excel sheet was used for combined analysis. RESULTS A total of 148 ref- erences were collected, most of them were published after 2009. About 134 references were found between 2009 and 2014, ac- counting for 90. 5%. Documents on case and practice accounted for 55. 4%. Literatures of review, summary and analysis in- creased rapidly in recent years. Tertiary hospitals provided 121 references accounting for 81.8%, significantly higher than sec- ondary hospitals. Most of the first authors had a middle or senior professional and technical title, relatively concentrated in Jiangsu, Guangdong, Beijing, Shanghai, Hunan, Sichuan and other more developed regions with higher economy and medical levels. Most literatures were published in Chinese core journals of medicine, Chinese science and technology core journals, ac- counted for 62. 6%. Pharmacy consultation contents were not widely involved in literatures, mainly were antimicrobial agents. CONCLUSION Pharmacy consultation work starts late in China, the development is slow at the early stage, but grows rapidly from 2010 up to now. Clinical pharmacists consultation ability improves year by year, and gradually obtains support and recog- nition from the hospital management staff and the clinician, but width and depth of pharmacy consultation need to be strength- ened, literature research level needs to be improved.
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