上海地区医疗机构药学门诊的开展现状及就诊量的影响因素  

Investigation on the current situation of pharmacy outpatient clinics in Shanghai and analysis of factors affecting patient visits

作　　者：金磊 周佳[1] 陈霁晖[1] 丁楠 王卓 张健[1] 卜书红[1] JIN Lei;ZHOU Jia;CHEN Jihui;DING Nan;WANG Zhuo;ZHANG Jian;BU Shuhong(Department of Clinical Pharmacy,Xinhua Hospital Affiliated to Shanghai Jiao Tong University School of Medicine,Shanghai 200092,China;Department of Pharmacy,Changhai Hospital Affiliated to Naval Medical University,Shanghai 200433,China)

机构地区：[1]上海交通大学医学院附属新华医院临床药学部,上海200092 [2]海军军医大学附属长海医院药学部,上海200433

出　　处：《中国临床药学杂志》2024年第6期437-442,共6页Chinese Journal of Clinical Pharmacy

摘　　要：目的调查上海地区药学门诊的开展现状,并分析药学门诊就诊量的影响因素,为医疗机构药学门诊的开展和完善提供参考。方法向上海二、三级医疗机构发放调查问卷,调查医疗机构药学门诊的开设和运行情况,并分析影响药学门诊就诊量的影响因素。结果共101家医疗机构参与了调查,其中88家医疗机构(占87.13%)开设了药学门诊。大部分药学门诊具有独立诊室,二、三级医疗机构药学门诊在配备药师工作站、药学门诊收费和服务时长方面差异有统计学意义(P<0.01)。88.1%的药学门诊建立了工作管理制度,63.8%的药学门诊为患者提供了书面建议资料,药学门诊普遍尚未实行绩效考核。单因素分析发现,药学门诊就诊量的影响因素包括药学门诊收费服务、药师具有处方权、为患者提供书面建议资料、建立患者向临床转诊流程和门诊服务具体标准操作规程、药学门诊纳入医疗机构医疗质量管理与控制体系。结论上海地区医疗机构的药学门诊取得了较大发展,今后仍需进一步加强学科建设和人才培养,完善药学门诊的管理体系,提高药学门诊的服务质量,以促进药学门诊的进一步发展。AIM To investigate the current status of outpatient pharmacy services in Shanghai and analyze factors affecting the number of visits to pharmacist-managed clinics,providing a reference for the development and improvement of pharmacy outpatient services in medical institutions.METHODS Questionnaires were distributed to secondary and tertiary medical institutions in Shanghai using a questionnaire survey method.The operation and service volume of pharmacist-managed clinics were investigated,and influencing factors of the number of outpatients were analyzed.RESULTS A total of 101 medical institutions participated in the survey,of which 88(87.13%)opened pharmacistmanaged clinics.Most pharmacist-managed clinics had independent consultation rooms,and there were differences in the allocation of pharmacist work stations,registration fees,and average service hours between second and third level hospitals(P<0.01).Regarding the construction of pharmaceutical outpatient system and service process,88.1%of pharmaceutical outpatient departments had established work management systems,while 63.8%of pharmaceutical outpatient departments provided written suggestions and materials for patients.Generally,performance evaluation had not yet been implemented.Univariate analysis showed that the influencing factors of the number of outpatient visits in pharmacist-managed clinics included the charging service of pharmacist-managed clinics,the prescription right of pharmacists,the provision of written suggestions for patients,the establishment of a patient referral process and specific standard operating procedures for outpatient services,and the inclusion of pharmacist-managed clinics into the medical quality management and control system of medical institutions.CONCLUSION The pharmacist-managed clinic of medical institutions in Shanghai has achieved significant development.In the future,it is still necessary to further strengthen discipline construction and talent cultivation,improve management systems,and strive to improve the service qu

关 键 词：药学门诊 绩效考核 就诊量 影响因素 

分 类 号：R95[医药卫生—药学]