重庆市万州区紧密型医共体内药品使用及药学服务调研分析  

Investigation and analysis of drug use and pharmaceutical care in tight medical alliance in Wanzhou District of Chongqing

作　　者：万素馨 孙秋艳 徐才兵 沈莉 龚红梅 方伟 WAN Suxin;SUN Qiuyan;XU Caibing;SHEN Li;GONG Hongmei;FANG Wei(Dept.of Pharmacy,Chongqing University Three Gorges Hospital,Chongqing 404010,China)

机构地区：[1]重庆大学附属三峡医院药学部,重庆404010

出　　处：《中国药房》2025年第1期19-23,共5页China Pharmacy

基　　金：重庆市卫生健康委员会医学科研项目(No.2024-WSJK055)。

摘　　要：目的了解重庆市万州区紧密型医共体(后文简称“医共体”)内药品使用情况及药学服务开展情况,为医共体的下一步建设提供参考。方法自行设计调研表并发放至重庆市万州区5家医共体的21家组成单位(5家牵头单位和16家成员单位),从国家基本药物配备及使用情况、药学专业技术人员配置情况、药学服务开展情况、抗菌药物合理使用情况4个方面开展调研。结果重庆市万州区医共体内有4家牵头单位、14家成员单位基本药物采购品种数占比达标,总达标率为85.71%;有4家牵头单位、13家成员单位国家基本药物配备使用金额占比达标,总达标率为80.95%。5家牵头单位和16家成员单位中具有博士学位的人员占比分别为1.71%、0,具有高级职称的人员占比分别为8.56%、1.63%。21家医共体组成单位共开设5个药学门诊或医药联合门诊,建立5个临床药学信息化服务平台;5家牵头单位均能常规开展临床药学项目,16家成员单位中仅4家开展了处方/医嘱审核与点评。16家成员单位门诊处方和住院病历中抗菌药物使用不合理数占比(4.81%、5.21%)均明显高于5家牵头单位(2.80%、4.00%)。结论重庆市万州区21家医共体组成单位的国家基本药物配备及使用达标情况均较好,但成员单位药学专业技术人员和临床药师配备数量、学历和职称水平均普遍偏低,药学服务项目及服务质量均有待提升。OBJECTIVE To investigate the use of drugs and the development of pharmaceutical care in the tight medical alliance(shorted for“medical alliance”)of Wanzhou District of Chongqing,and provide reference for the further construction of the medical alliance.METHODS A survey form was designed and distributed to 21 constituent units(5 leading units and 16 member units)of 5 medical alliances in Wanzhou District of Chongqing.The statistical analysis was conducted in aspects of basic drug allocation and use,pharmaceutical personnel team construction,the development of pharmaceutical care,and rational use of antibiotics.RESULTS Among the 21 constituent units,4 leading units and 14 member units achieved the target for the proportion of essential drug procurement varieties,with a total compliance rate of 85.71%;4 leading units and 13 member units achieved the target for the proportion of national essential drug allocation and usage amount,with a total compliance rate of 80.95%.The proportions of personnel with doctoral degrees in the 5 leading units and 16 member units were 1.71%and 0 respectively,and the proportions of personnel with senior professional titles were 8.56%and 1.63%,respectively.A total of 5 pharmacy or pharmaceutical combined outpatient clinics were set up in the 21 medical alliance units,and 5 clinical pharmacy information service platforms were established;all 5 leading units were able to regularly carry out clinical pharmacy projects,while only 4 out of 16 member units had conducted medical order review and evaluation.The proportions of irrational use of antibiotics in outpatient prescriptions and inpatient medical records of the 16 member units(4.81%,5.21%)were significantly higher than those of the 5 leading units(2.80%,4.00%).CONCLUSIONS The allocation and usage of national essential drugs in 21 constituent units from Wanzhou District of Chongqing are both in good standing.However,the data on the allocation of pharmaceutical professionals and the number,qualifications,and job titles of clinical pharm

关 键 词：紧密型医共体 药品使用 药学服务 国家基本药物 抗菌药物 

分 类 号：R95[医药卫生—药学]