三级妇幼保健院出院带药管理现状分析  

Current Status of Discharge Medication Management in a Tertiary Maternal and Child Health Hospital

作　　者：左桂花 张了云 江永贤 李根 ZUO Guihua;ZHANG Liaoyun;JIANG Yongxian;LI Gen(Sichuan Maternal and Child Health Hospital,Chengdu,Sichuan,China 610041;Anyue County Maternal and Child Health and Family Planning Service Center,Ziyang,Sichuan,China 642350)

机构地区：[1]四川省妇幼保健院,四川成都610041 [2]四川省安岳县妇幼保健计划生育服务中心,四川资阳642350

出　　处：《中国药业》2025年第3期23-26,共4页China Pharmaceuticals

基　　金：四川省成都市医学科研项目[2022024];成都医学院科技基金[CYSYB22-01];四川省妇幼保健院科技创新基金项目[CXPJ2023-02]。

摘　　要：目的了解三级妇幼保健院出院带药的管理现状,并优化相应管理措施。方法采用问卷调查法,通过移动手机端发送调查问卷,对出院带药管理规定的制订及考核、药师配备、临床管理路径、出院带药疗程等进行调查,邀请三级妇幼保健院药学部负责人在线填写,并采用SPSS 19.0统计学软件对调查结果进行统计与分析。结果共73家三级妇幼保健院参与了问卷调查,其中,57家(78.08%)将顺产纳入临床路径管理,且以中成药为主;50家(68.49%)开展了出院带药用药教育工作,其中44家(88.00%)对患者进行了回访;36家(49.32%)制订了出院带药管理规定,其中23家(63.89%)将定期考核纳入绩效管理;62家(84.93%)认为需改进出院带药管理规定;出院带药疗程主要为3,7,14,28 d,其中41家(56.16%)的出院带药疗程为7 d。结论三级妇幼保健院需加强临床路径管理和出院带药疗程管理,提高出院带药的合理性,需结合医保政策和处方管理要求,从出院带药的品种结构、疗程、范围、用药教育、考核方式等方面完善出院带药管理规定,加强药学回访,提升药学服务质量。Objective To understand the current status of discharge medication management in a tertiary maternal and child health hospital,and to optimize the corresponding management measures.Methods A questionnaire survey was conducted by the mobile phone to invite the person in charge of the pharmacy department in the maternal and child health hospital to fill in online,and the formulation and assessment of discharge medication management regulations,pharmacist staffing,clinical management pathways,and discharge medication treatment courses were investigated.SPSS 19.0 statistical software was used to statistically analyze the results.Results A total of 73 tertiary maternal and child health hospitals participated in the questionnaire survey,of which 57 hospitals(78.08%)included spontaneous labor into clinical pathway management,and traditional Chinese patent medicines and simple preparations were the main drugs;a total of 50 hospitals(68.49%)have carried out discharge medication education,of which 44 hospitals(88.00%)conducted follow-up visits to patients;a total of 36 hospitals(49.32%)have formulated discharge medication management regulations,of which 23 hospitals(63.89%)have included regular assessments in performance management;a total of 62 hospitals(84.93%)believed that there was a need to improve the management regulations for discharge medication;the discharge medication course mainly included 3,7,14,28 d,among which 41 hospitals(56.16%)had a discharge medication course of 7 d.Conclusion The tertiary maternal and child health hospital need to strengthen clinical pathway management and discharge medication course management to improve the rationality of discharge medication.It is necessary to combine medical insurance policies and prescription management requirements,improve discharge medication management regulations from the aspects of variety structure,treatment course,scope,medication education,and assessment methods,strengthen pharmaceutical follow-up,and enhance the quality of pharmaceutical care.

关 键 词：妇幼保健院 出院带药 管理现状 药学服务 

分 类 号：R95[医药卫生—药学]