以压缩策略为导向的社区卫生服务中心药房改造研究  

Compression Strategy- oriented Transformation of Pharmacies of Community Health Service Centers

作　　者：宋徽江 杨丽萍[1] 

机构地区：[1]上海市浦东新区三林社区卫生服务中心,200124

出　　处：《中国全科医学》2016年第13期1493-1495,共3页Chinese General Practice

基　　金：上海市卫生和计划生育委员会科研基金资助项目(20134485)

摘　　要：目的以时间压缩策略为导向,探索社区卫生服务中心适用的自动发药系统,并评价该系统的实施效果。方法收集2012年8月1—23日三林社区卫生服务中心的处方信息,根据社区卫生服务中心门诊药房服务量及处方特点配置自动发药系统及工作人员,并对自动发药系统实施前后的工作效率及居民满意度进行效果评价。结果该社区卫生服务中心设立了1台快速发药系统,1台智能存取系统,2个发纯盒药窗口,1个混装处方窗口,1个咨询窗口,配备7~10名工作人员。自动发药系统实施后,日均处理处方量由实施前的1 040张上升至实施后的6 810张,高峰期每小时处理处方量由实施前的304张上升至实施后的700张,平均每张处方处理时间由实施前的60 s缩短至实施后的20 s;自动发药系统实施后,居民对药房服务的满意率由实施前的85.20%（852/1 000）上升至实施后的96.00%（960/1 000）。结论根据社区实践特点配置的自动发药系统有效地提升了社区卫生服务中心的药房服务水平,为社区卫生服务中心进一步提升服务效率,优化服务流程奠定了基础。Objective To investigate a automatic medicine distribution system suitable for community health service centers and evaluate the implementation effect of the system, with time compression strategy as guidance. Methods The prescription information of Sanlin Community Health Service Center from August 1 to August 23 in 2012 was collected. A automatic medicine distribution system and relevant personnel were arranged based on the service volume and prescription features of the outpatient pharmacy of the community health service center. Work efficiency and satisfaction degree before and after the implementation of the system were evaluated. Results In the community health service center,1 fast dispensing system,1intelligent assessing system,2 box medicine dispensing windows,1 mixed medicine dispensing window,1 consultation window were set up with 7- 10 staff. After the implementation of the system,average daily amount of prescriptions increased from 1 040 pieces to 6 810 pieces. The average hourly amount of prescriptions in busy hours increased from 304 pieces before implementation to 700 pieces after implementation,and the average time needed by every prescriptions was shortened to 20 s from 60 s. After the implementation of the system, the satisfaction of residents with pharmacy service increased to 96. 00%（ 960 /1 000） from85. 20%（ 852 /1 000）. Conclusion The system,established according to the features of community practice,significantly improves pharmacy service level and service efficiency,and betters the service process of community health service centers.

关 键 词：社区卫生服务中心 自动发药系统 效果评价 

分 类 号：R197[医药卫生—卫生事业管理]