中国儿科药学门诊开展现状调研与分析  

Investigation and Analysis on the Current Situation of Pediatric Pharmacist-managed Clinic in China

作　　者：黄凌斐[1] 高鹏[1] 吴梦华[1] 朱正怡[1] 倪映华[1] 杨巨飞[1] 缪静 HUANG Lingfei;GAO Peng;WU Menghua;ZHU Zhengyi;NI Yinghua;YANG Jufei;MIAO Jing(Department of Pharmacy,Children’s Hospital,Zhejiang University School of Medicine,National Clinical Research Center for Child Health,Hangzhou 310052,China;Research Center for Clinical Pharmacy,Zhejiang University,Hangzhou 310058,China)

机构地区：[1]浙江大学医学院附属儿童医院药剂科,国家儿童健康与疾病临床医学研究中心,杭州310052 [2]浙江大学临床药学研究中心,杭州310058

出　　处：《中国现代应用药学》2023年第22期3070-3075,共6页Chinese Journal of Modern Applied Pharmacy

摘　　要：目的调研中国儿科药学门诊的开展现状,为儿科药学门诊建设及提升提供参考。方法以中国儿童专科医院、妇幼保健院/妇儿医院、设有儿科的综合医院为调查对象,通过问卷星平台发放调查问卷,采用SPSS 26.0进行数据统计,分析儿科药学门诊开展基本情况,出诊药师资质,岗位培训情况及培训需求等。结果收集有效问卷101份,共55家(54.5%)医院已开设儿科药学门诊,其中35家为药师独立门诊,大多数具备良好的医疗文书管理及患者管理流程。但70%左右医院未收取挂号费,一半以上医院日就诊量<5人次。85.5%的药学门诊由临床药师出诊,约半数为工作年限>10年的资深临床药师,仅3.6%的出诊药师有特定处方权。岗位培训调研结果显示,101家医院中,有36家医院药师有药学门诊培训经历,其中25家已开展儿科药学门诊。除药学专科知识外,>50%的药师对医患沟通及分析解决问题能力提升有强烈需求,30%~40%的需求集中在病史及用药史采集,心理疏导能力及药学门诊实践案例学习。结论目前国内儿科药学门诊呈现蓬勃发展趋势,但存在收费率低,就诊量少,相关药师岗位培训不足等情况,儿科药学部门应积极探索适宜的药学门诊服务模式,并构建儿童专科培训体系以提升药学门诊药师的岗位胜任力。OBJECTIVE To investigate the current situation of pediatric pharmacist-managed clinic in China,and to provide reference for pediatric pharmacist-managed clinic construction and improvement.METHODS Domestic Children’s hospitals,Women’s&Children’s Hospital,and general hospitals with pediatric unit were selected as the survey objects,questionnaires were distributed through the Wenjuanxing Application,and SPSS 26.0 was used to describe the data.The development of pediatric pharmacist-managed clinic,the qualification of visiting pharmacists,the situation of post training and training needs were analyzed.RESULTS A total of 101 valid questionnaires were collected.Pediatric pharmacist-managed clinics had been set up in 55(54.5%)hospitals,of which 35 were independent pharmacists’clinics,and most had well medical document and patient management processes.However,about 70%of hospitals did not charge registration fees,and more than half of hospitals had fewer than 5 patient-visits per day.85.5%of the hospitals were visited by clinical pharmacists,and about half of them were senior clinical pharmacists with more than 10 years of working experience.But only 3.6%of visiting pharmacists had the right of specific prescription.In 101 hospitals relevant post training for pharmacists had been carried out in 36 hospitals,of which 25 hospitals had set up pharmacist-managed clinic.In addition to pharmaceutical expertise,more than 50%of pharmacists had a strong demand for the improvement of physician-patient communication and problem-solving ability,and 30%−40%of the demand was focused on the collection of medication history,psychological counseling ability,and case-based learning in the pharmacist-managed clinic.CONCLUSION At present,the domestic pediatric pharmacist-managed clinic shows a vigorous development trend,however,there are insufficient registration fees,visits,and post training.Appropriate service methods of pediatric pharmacist-managed clinic should be actively explored,and a pediatric specialized training system

关 键 词：儿科 药学门诊 岗位培训 胜任力 

分 类 号：R95[医药卫生—药学]