我国医疗机构药学门诊开展情况调研  

Research on the development of pharmacy clinics in China's medical institutions

作　　者：李国涛 陈熙 府裕琦 周亮 郭玉金[1] 赵颖波 LI Guotao;CHEN Xi;FU Yuqi;ZHOU Liang;GUO Yujin;ZHAO Yingbo(Department of Clinical Pharmacy,Jining First People's Hospital Affiliated to Shandong First Medical University,Shandong Jining 272000,China;Department of Pharmaceutical Administration Research,National Institute of Hospital Administration,NHC,National Center for Medical Quality Control in Pharmaceutical Management,Beijing 100044,China)

机构地区：[1]山东第一医科大学附属济宁市第一人民医院临床药学科,山东济宁272000 [2]国家卫生健康委医院管理研究所药事管理研究部,国家药事管理专业医疗质量控制中心,北京100044

出　　处：《中国医院药学杂志》2025年第6期695-700,共6页Chinese Journal of Hospital Pharmacy

摘　　要：目的:了解我国二级以上综合医院药学门诊现状,为完善管理制度提供理论和实践依据。方法:通过国家药事管理专业医疗质量控制中心开展的年度药事专业质控工作调查获取我国31个省(自治区、直辖市)及新疆生产建设兵团二级以上综合医院2020-2022年药学门诊开展情况,利用统计软件进行汇总计算。结果:2020-2022年纳入分析的医院数量分别为5225、5064和6040家。与2020年相比,2022年药学门诊开展率由9.32%上升至48.54%,呈显著增长的趋势。在各类医院中,三级公立医院的药学门诊开展率持续领先,随后依次是三级民营医院、二级公立医院及二级民营医院。药学门诊年度平均就诊例数略有下降,从475例降至463例,但二级民营医院仍保持了较高的就诊量,凸显了其在药学服务领域的独特优势。药学门诊收费率由24.44%下降至18.97%,这一变化与医院数量的增长趋势形成鲜明对比。2021-2022年参与调研医院开设的药学门诊类别多样,以独立药学门诊为主,其中又以药师综合门诊为主。结论:我国医院药学门诊发展迅速,今后仍需进一步加强药学学科建设,深化临床药学人才培养,明确药师服务价值,以促进药学门诊健康可持续发展。OBJECTIVE To understand the current situation of pharmacy clinics in China's second-level and above general hospitals,and to provide theoretical and practical basis for improving the management system.METHODS Through the annual survey of pharmacy professional quality control conducted by the National Center for Medical Quality Control in Pharmaceutical Management,we collected information on the development of pharmacy clinics in second-level and above general hospitals in 31provinces(autonomous regions and municipalities directly under the central government)and the Xinjiang Production and Construction Corps from 2020 to 2022.Statistical software was used for summary and calculation.RESULTS The number of hospitals included in the analysis from 2020 to 2022 were 5225,5064 and 6040,respectively.Compared with 2020,the rate of pharmacy clinic development increased from 9.32%to 48.54%in 2022,showing a significant growth trend.Among all types of hospitals,tertiary public hospitals continued to lead in the rate of pharmacy clinic development,followed by tertiary private hospitals,secondary public hospitals and secondary private hospitals.The annual average number of pharmacy outpatient visits dropped slightly,from 475 to 463,but second-level private hospitals still maintained a high number of visits,highlighting their unique advantages in the field of pharmacy services.The rate of pharmacy outpatient charges decreased from 24.44%to 18.97%,a change that contrasted sharply with the trend of growth in the number of hospitals.The categories of pharmacy clinics offered by the hospitals participating in the survey from 2021 to 2022 were diverse,with independent pharmacy clinics dominating,and pharmacists'comprehensive outpatient clinics being the main type.CONCLUSION China's hospital pharmacy clinic is developing rapidly,and in the future,it is still necessary to further strengthen the construction of pharmacy disciplines,deepen the cultivation of clinical pharmacy talents,and clarify the value of pharmacist services in order

关 键 词：综合医院 药学门诊 开展率 门诊收费 医疗质量 

分 类 号：R951[医药卫生—药学]