重大突发性公共卫生事件下临床药学服务在贵州省医疗救治体系中的应用现状研究  

Application status of clinical pharmaceutical care in medical treatment system of Guizhou Province under major public health emergencies

作　　者：梅玉虹 雷雪 李祖兰 周戈耀 MEI Yu-hong;LEI Xue;LI Zu-lan;ZHOU Ge-yao(College of Chinese Health Service Management,Guizhou Medical University,Guizhou Guiyang 550000,China)

机构地区：[1]贵州医科大学医药卫生管理学院,贵州贵阳550000

出　　处：《中国医院药学杂志》2021年第13期1347-1351,共5页Chinese Journal of Hospital Pharmacy

基　　金：贵州省"十四五"公共卫生体系建设规划;贵州省卫生发展研究院(编号:gywf2021-05)。

摘　　要：目的:调查临床药学服务在贵州省医疗救治体系中的开展现状,为未来在重大突发性公共卫生事件中最大化发挥临床药学服务效能提供相关建议。方法:通过三甲医院药学部门负责人个人深入访谈及10家三甲医院的药师、医师和住院患者实地问卷调查,对贵州省临床药学服务的开展现状进行调研。结果:本次调查的药师主要以大专/本科学历、拥有初级职称的青年女性为主;药师对临床药学服务的了解度与药师的学历(P=0.002)以及是否参与过临床药学服务培训(P=0.004)之间密切相关;医师对重大突发事件应急预案的了解度高于药师(P=0.024);参与过重大突发事件的药师比未参与过的在日常药学服务上涉及更多的用药监测(P=0.027)和治疗方案制定(P=0.014)服务;参与过重大突发事件的药师比未参与过的更肯定自我地位(P=0.032)和临床药学服务能力(P=0.031);62.7%的医师表示与药师的整体合作情况较好,78.0%的患者表示对临床药学服务不太了解,89.0%的患者对药师提供的临床药学服务表示满意但对其信任度较低。结论:三甲医院药师在自我认识、相关知识能力水平、临床药学服务种类提供和公众认知度方面有待提升;建议完善药学教育结构,丰富药事咨询服务形式,健全药品供应协调机制,加强安全用药与不良反应监测以及应急科普宣传工作。OBJECTIVE To explore the current status of clinical pharmaceutical care in the medical treatment system of Guizhou Province and provide rationales for maximizing the effectiveness of clinical pharmaceutical care in major public health emergencies in the future.METHODS Through personal interviews with directors of pharmaceutical department and questionnaire survey of pharmacists,physicians and inpatients at 10 class 3A hospitals,the current status of clinical pharmaceutical care in Guizhou Province was reviewed.RESULTS Pharmacists in this survey were predominantly young females with junior college/undergraduate education and primary professional title;pharmacists’understanding of clinical pharmaceutical care was closely correlated with pharmacists'education(P=0.002)and participation in clinical pharmaceutical care training(P=0.004);physician understanding of emergency plan for major emergencies was higher than pharmacists(P=0.024).Pharmacists participating in major emergencies were more involved in daily pharmaceutical care(P=0.027)and treatment planning(P=0.014);pharmacists participating in major emergencies were more positive in self-affirmation(P=0.032)and clinical pharmaceutical caring(P=0.031);62.7%of physicians were satisfied with collaborations with pharmacists;78.0%of patients knew little about clinical pharmaceutical care,89.0%of patients expressed satisfaction with clinical pharmaceutical care provided by pharmacists.And there was a low level of trust.CONCLUSION Pharmacists at class 3A hospitals need to strengthen their self-awareness,enhance the relevant knowledge and capability,provide clinical pharmaceutical services and raise public awareness.It is imperative to improve the pharmaceutical education structure,diversify the modes of pharmaceutical advisory services,improve the coordination mechanism of drug supply,strengthen the monitoring of safe drug use and adverse reactions and strengthen emergency science popularization.

关 键 词：重大突发性公共卫生事件 临床药学服务 医疗救治 

分 类 号：R95[医药卫生—药学]