某基层医院药学门诊药学服务运行情况分析探讨  

Analysis and Discussion on The Operation of Pharmaceutical Care of Pharmacist-managed Clinics of A Basic Hospital

作　　者：黄佳祥 吴委[2,3] 陈嘉华 蔡孙淑芳 HUANG Jia-xiang;WU Wei;CHEN Jia-hua;CAI SUN Shu-fang(Department of Pharmacy,ZhangZhou People′s Hospital,Zhangzhou,363000,China;Department of Pharmacy,the First Affiliated Hospital of Fujian Medical University,Fuzhou 350005,China;Department of Pharmacy,National Regional Medical Center,Binhai Campus of the First Affiliated Hospital,Fujian Medical University,Fuzhou 350212,China)

机构地区：[1]漳州市人民医院药剂科,福建漳州363000 [2]福建医科大学附属第一医院药学部,福建福州350005 [3]福建医科大学附属第一医院滨海院区国家区域医疗中心药学部,福建福州350212

出　　处：《海峡药学》2024年第11期125-130,共6页Strait Pharmaceutical Journal

摘　　要：目的 了解我院药学门诊运行情况,分析成效与不足,促进我院药学门诊发展。方法 介绍药学门诊工作模式,收集2024年1月至9月期间在我院药学门诊就诊的药学服务记录,统计分析人员构成、药学服务内容分类、咨询药品种类等信息,并利用帕累托图分析药学服务内容和咨询药品种类的主要因素。结果 共纳入469条药学服务信息,以老年患者及儿童家长为主,药学服务内容共10类,主要因素为特殊剂型指导,次要因素为用法用量;药品分类共11类,主要因素为抗病毒药物、心血管系统药物、呼吸系统药物,次要因素为内分泌系统药物、消化系统药物。结论 药学门诊在药学实践中发挥重要作用,可提高医生、患者认可度,提升药师价值,保障合理用药,但基层药学门诊仍亟待国家进一步完善体系建设、制定标准化模式,促进药师队伍健康有序发展。OBJECTIVE To understand the operation of pharmacist-managed clinic in a hospital,to analyze the effectiveness and shortcomings,and to promote the development of pharmacist-managed clinic in a hospital.METHODS To introduce the working mode of pharmacist-managed clinic,collected the records of pharmaceutical care in the pharmaceutical outpatient department of our hospital from January 2024 to September 2024,and analyzed the date of the personnel composition,classification of pharmaceutical care contents,and types of drugs consulted,and analyze the main factors of pharmaceutical care contents and types of drugs consulted by using Pareto chart.RESULTS A total of 469 pieces of information of outpatient pharmaceutical care were included,mainly for elderly patients and parents of children,and there were 10 categories of pharmaceutical care contents,with the main factor was guidance on special dosage forms,and the secondary factor was usage and dosage;and there were 11 categories of drug classifications,with the main factors were antiviral drugs,cardiovascular system drugs,and respiratory system drugs,and the secondary factors were endocrine system drugs and gastrointestinal system drugs.CONCLUSION Pharmacist-managed clinic play an important role in pharmacy practice,which can improve the recognition of doctors and patients,enhance the value of pharmacists,and guarantee the rational used of drug,however the basic pharmacist-managed clinic are still in urgent need of the State to further improve the construction of the system,formulate a standardized model,and promote the healthy and orderly development of the pharmacist team.

关 键 词：药学门诊 药学服务 工作模式 帕累托图 合理用药 

分 类 号：R969[医药卫生—药理学]