基于问卷调查的“互联网+中药房”规范化建设标准体系构建思路探讨  

Discussion on the Idea to Establish Standardized Construction Standard System for“Internet+TCM Pharmacy”Based on Questionnaire Survey

作　　者：徐惠芳[1] 彭敏[1] 黄倩[1] 徐玉婷[1] XU Huifang;PENG Min;HUANG Qian;XU Yuting(Dept.of Pharmacy,Wuhan Hospital of TCM,Wuhan 430014,China)

机构地区：[1]武汉市中医医院药学部,武汉430014

出　　处：《中国药房》2021年第12期1520-1526,共7页China Pharmacy

基　　金：武汉市卫生和计划生育委员会科研项目(No.WZ17A08)。

摘　　要：目的:为构建"互联网+中药房"规范化建设标准体系提供参考。方法:通过查阅文献、调查研究和咨询专家,编制问卷并向中药专业人员进行问卷调查,了解我国医疗机构"互联网+中药房"建设现状和存在的问题;在调查问卷结果的基础上,尝试构建"互联网+中药房"规范化建设标准体系框架。结果与结论:调查共发放问卷74份,回收问卷74份,其中无效问卷1份,有效率为98.65%。73名受访者中,60%以上的受访者来自中医医院,或为副高及以上职称;55名受访者(占75.3%)为全国中药特色技术传承人才。调查结果显示,80%以上的医疗机构中药房配备有专职审方人员,开展了代煎药服务,设有煎药室,并开展了配送服务,且可实现当日或者部分当日送达;半数以上的受访者认为所在医疗机构的中药饮片处方严格按照相关要求开具,使用了合理用药监测软件,并能定期进行相关工作环节的差错分析,定期对调剂人员开展了处方应付培训,对煎药人员开展煎药知识和操作流程培训,但绝大多数受访者(67名,占91.8%)表示其所在医疗机构仅采用传统方法控制与评价煎药成品质量。对中药房6个工作环节和17个操作关键点的重要性评价调查结果显示,意见集中度最高的环节为饮片质量,操作关键点为特殊药品处理。主成分分析法和最大方差法分析结果显示,现阶段"互联网+中药房"的建设主要体现在中药调剂煎煮和咨询配送服务两个维度。统计分析结果显示,不同级别和不同性质的医疗机构在工作人员培训、法规政策知晓、定期差错分析、患者满意度调查、优化支付环节和咨询服务等方面均存在显著差异(P<0.05),有必要开展"互联网+中药房"规范化建设。建议从基本条件建设、药品采购验收规范化、药品调剂规范化、煎药及配送服务规范化、药事咨询服务规范化等5个方面着手构建"互联网+中药房"规范化�OBJECTIVE:To provide reference for establishing standardized construction standard system of"internet+TCM pharmacy".METHODS:Questionnaire through literature review,investigation and expert consultation were compiled.A questionnaire survey was carried out among TCM staff to understand the current situation and problems of"internet+TCM pharmacy"in Chinese medical institutions.Based on the results of the questionnaire,a frame of standardized construction standard system for"internet+TCM pharmacy"was tried to constructed.RESULTS&CONCLUSIONS:A total of 74 questionnaires were distributed and 74 were returned,including 1 invalid questionnaire,with an effective rate of 98.65%.Among the 73 respondents,more than 60%were from TCM hospitals,or with the title of vice senior or above,and 55(75.3%)were national TCM characteristic technology inheritance talents.The survey results showed that more than 80%of TCM pharmacies in medical institutions were equipped with full-time reviewers,provided decocting service,set up decocting room,and carried out distribution service,and could achieve the same-day or part of the same-day delivery.More than half of the respondents believed that the prescriptions of TCM decoction pieces in their medical institutions were issued in strict accordance with the relevant requirements,the rational drug use monitoring software was used,and the error analysis of relevant work links was carried out regularly,prescription coping training was regularly carried out for dispensers,and decoction knowledge and operation process training were carried out for decoction personnel.However,the vast majority of respondents(67,accounting for 91.8%)thought that their medical institutions only used traditional methods to control and evaluate the quality of finished decoction products.The results of the evaluation of the importance of 6 links and 17 key points of operation showed that the highest concentration of opinions was the quality of decoction pieces,and the key points of operation were special drug treatment.The

关 键 词：问卷调查 互联网+中药房 规范化建设 标准体系 

分 类 号：R952[医药卫生—药学] R288