我国DTP药房肿瘤药学服务能力现状调研  

Status Investigation on Antitumor Pharmaceutical Care Ability of DTP Pharmacy in China

作　　者：王喆元 罗鑫[1,2,3] 叶真 叶璇 余波 翟青 杜琼 WANG Zheyuan;LUO Xin;YE Zhen;YE Xuan;YU Bo;ZHAI Qing;DU Qiong(Dept.of Pharmacy,the Affiliated Cancer Hospital of Fudan University,Shanghai 200032,China;Dept.of Oncology,Shanghai Medical College,Fudan University,Shanghai 200032,China;School of Pharmacy,Fudan University,Shanghai 201203,China;Beijing Golden Elephant Pharmacy Co.,Ltd.,Beijing 100035,China;Dept.of Pharmacy,Shanghai Tongren Hospital,Shanghai 200336,China;Dept.of Pharmacy,Tongren Hospital,Shanghai Jiao Tong University School of Medicine,Shanghai 200336,China)

机构地区：[1]复旦大学附属肿瘤医院药剂科,上海200032 [2]复旦大学上海医学院肿瘤学系,上海200032 [3]复旦大学药学院,上海201203 [4]北京金象大药房医药连锁有限公司,北京100035 [5]上海市同仁医院药剂科,上海200336 [6]上海交通大学医学院附属同仁医院药剂科,上海200336

出　　处：《中国药房》2020年第9期1132-1138,共7页China Pharmacy

基　　金：上海市卫生和计划生育委员会重要薄弱学科建设计划(No.沪卫计科教〔2016〕041号)。

摘　　要：目的:调研我国直销患者(DTP)药房的肿瘤药学服务能力与工作现状,为构建以药学服务为核心的DTP药房质量评价体系提供参考。方法:于2019年9-12月期间,以电子问卷的形式调查我国全部126家挂牌DTP药房从事肿瘤相关工作的药师的背景、专业知识来源、药学服务能力(包括审方与调配、用药咨询与指导、药物治疗管理、随访等方面)、抗肿瘤药物药学专业知识等情况;对126家挂牌的DTP药房进行现场检查,对其药学服务管理现状进行评价,并结合问卷调查结果描述现场检查印象,评价我国DTP药房肿瘤药学服务能力现状并提出相应建议。结果:共发放问卷400份,回收有效问卷392份,有效回收率为98.0%。DTP药房药师主要集中在华东地区,以江西(73人,18.62%)、安徽(68人,17.35%)为主;学历主要为大专及以下(229人,58.42%),其次是本科(158人,40.31%);工作年限主要为>5年(241人,61.48%);专业方向以药剂学为最多(123人,31.38%),药学(含药理学)次之(81人,20.66%)。DTP药房药师常规知识来源包括培训课程的学习资料(302人次,77.04%)、教科书(250人次,63.78%)和微信推送(206人次,52.55%),前沿知识来源包括培训课程(347人次,88.52%)、微信推送(211人次,56.38%)和参加学术会议(162人次,41.33%);其期望的培训方式包括网络视频课程(344人次,87.76%)和线下课程(248人次,63.27%)。在审方与调配方面,主要存在医疗文书及资料尚未完全到位等问题,分别有82.91%、64.54%的药师审方时需要常规病历本、出院小结,91.58%的药师以医师手写处方作为调配新型抗肿瘤药物的依据。药师在进行用药咨询与指导方面对过敏史、遗传史、不良反应关注较少,认为药物治疗管理过程中的难点包括监测患者不良反应(239人次,60.97%)、评估用药的合理性(222人次,56.63%)、形成完整的用药记录(219人次,55.87%);药师期望的随访形式主要以电话(334人次,85.20%)、配药�OBJECTIVE:To investigate antitumor pharmaceutical care ability and the current status of direct to patient(DTP)pharmacy in China,and to provide reference for building a quality evaluation system of DTP pharmacy which focuses on the pharmaceutical care.METHODS:From Sept.to Dec.2019,an electronic questionnaire survey was conducted among pharmacists of all of 126 listed DTP pharmacies and involved education background,professional knowledge sources and pharmaceutical care ability(such as prescription checking and dispensing,medication consultation and guidance,medication management,follow-up),pharmaceutical knowledge of antitumor medicine,etc.DTP pharmacies in China were inspected on site,and their pharmaceutical care management were evaluated,and impression of on-site inspection were discribed with questionnaire survey.The current situation of oncology pharmaceutical care ability of DTP pharmacy in China was evaluated and corresponding suggestions were put forward.RESULTS:A total of 400 questionnaires were sent out,and 392 valid questionnaires were collected with recovery rate of 98.0%.The cancer pharmacists in DTP pharmacy were mainly from East China,mainly in Jiangxi(73 persons,18.62%),Anhui(68 persons,17.35%).The pharmacists were mainly junior college or below(229 persons,58.42%),followed by undergraduate(158 persons,40.31%).The working years were more than 5 years(241 persons,61.48%).The majors were mostly pharmaceutics(123 persons,31.38%),followed by pharmacy(including pharmacology)(81 persons,20.66%).The regular knowledge sources of pharmacists in DTP pharmacy included learning materials(302 person times,77.04%),textbooks(250 person times,63.78%)and Wechat push(206 person times,52.55%);the latest knowledge sources included training courses(347 person times,88.52%),Wechat push(211 person times,56.38%)and academic conferences(162 person times,41.33%).The expected training methods included online video courses(344 person times,87.76%)and offline courses(248 person times,63.27%).In terms of prescription checking

关 键 词：直销患者药房 调查问卷 现场验收 药学服务能力 

分 类 号：R952[医药卫生—药学]