我国医疗机构用药教育开展现状调查  

Investigation on the current status of medication education in medical institutions in China

作　　者：张逸舟 都丽萍[1] 张宇晴[3,4] 刘思彤 梅丹 ZHANG Yizhou;DU Liping;ZHANG Yuqing;LIU Sitong;MEI Dan(Dept.of Pharmacy,Peking Union Medical College Hospital,Peking Union Medical College,Chinese Academy of Medical Sciences,Beijing 100730,China;School of Traditional Chinese Medicine,Tianjin University of Traditional Chinese Medicine,Tianjin 301617,China;School of Pharmaceutical Sciences,Peking University,Beijing 100191,China;Pharmaceutical Specialized Committee,Chinese Hospital Association,Beijing 100035,China;Dept.of Pharmacy,Beijing Jishuitan Hospital,Capital Medical University,Beijing 100035,China)

机构地区：[1]中国医学科学院北京协和医学院北京协和医院药剂科,北京100730 [2]天津中医药大学中药学院,天津301617 [3]北京大学药学院,北京100191 [4]中国医院协会药事专业委员会,北京100035 [5]首都医科大学附属北京积水潭医院药学部,北京100035

出　　处：《中国药房》2024年第11期1380-1385,共6页China Pharmacy

基　　金：中央高水平医院临床科研专项(No.2022-PUMCH-A-199);中央级公益性科研院所基本科研业务费项目(No.2022-RW320-01);北京市科技计划课题(No.Z191100004419004)。

摘　　要：目的 调查我国各级医疗机构用药教育开展及补偿现状,为用药教育的高质量发展提供依据和建议。方法 采用网络问卷调查的方法,于2023年3月调查全国范围内各级医疗机构用药教育的开展情况,对结果进行描述性统计与影响因素分析。结果 共回收问卷1 368份,其中有效问卷1 304份,问卷有效率为95.32%。我国医疗机构用药教育总体开展率为73.62%,东部、中部和西部地区用药教育开展率分别为76.05%、67.68%、73.76%,三级、二级和一级医疗机构开展率分别为87.11%、60.57%、46.32%;发药窗口是最常见的用药教育场所,口头交代是比例最高的用药教育形式。三级医疗机构与一级和二级医疗机构相比,用药教育场所和形式都更加多元;各级医疗机构总体用药教育年服务量的中位数为500人次,且医疗机构级别越高,用药教育年服务量越大(P=0.023);超过一半的医疗机构无任何形式的用药教育补偿,有补偿的医疗机构大多是在工作量上予以体现。医疗机构等级、信息化和自动化程度是影响用药教育是否开展的重要因素。结论 与2019年相比,近年我国中部地区医疗机构用药开展率有一定提升;各地区的一级医疗机构用药教育开展率仍较低,需要继续提高。各医疗机构应根据自身特点设置用药教育场所,丰富用药教育形式,提高人才培养的数量和质量,继续积极落实药学服务收费,以促进用药教育高质量、可持续发展。OBJECTIVE To investigate the development and current status of medication education in domestic medical institutions,aiming to provide reference and suggestions for better development of medication education.METHODS The online questionnaire survey was conducted in March 2023 to investigate the implementation of medication education in medical institutions at all levels nationwide;descriptive analysis and influencing factors analysis were conducted.RESULTS A total of 1368 questionnaires were recycled,1304 of which were effective questionnaires,with the effective rate of 95.32%.The average rate of providing medication education was 73.62%in medical institutions nationwide,76.05%,67.68%and 73.76%respectively in Eastern,Central and Western regions,87.11%,60.57%and 46.32%respectively in tertiary,secondary and primary medical institutions.The commonest place and way of carrying out medication education were dispensing window and oral instructions,and both were more diverse in tertiary medical institutions,compared with second and primary medical institutions.The median annual service volume of medication education in medical institutions at all levels was 500 people;the higher the level of medical institutions,the larger the annual service volume of medication education(P=0.023).More than half of medical institutions didn’t have any form of compensation for medication education,which was mostly reflected in the workload of medical institutions with compensation.Grade of medical institutions,degree of information and automation were the major influencing factors of carrying out medication education.CONCLUSIONS The ratio of carrying out medication education is improved in the central region in China in recent years,compared with 2019;while that of primary institutions in all regions is at a low level and should be improved.The place of carrying out medication education should be set according to the characteristics of medical institutions,and medication education forms should be enriched as much as possible.The quantit

关 键 词：医疗机构 用药教育 影响因素 补偿 药学服务 问卷调查 

分 类 号：R95[医药卫生—药学]