“双通道”背景下江苏省社会药房执业药师药学服务现状调研  

Survey on the Current Situation of Pharmaceutical Care of Licensed Pharmacists in Com⁃munity Pharmacies in Jiangsu Province Under the Background of"Dual-Channel"Policy

作　　者：朱星渺 朱思忆 胡豪[2,3] 姚东宁 ZHU Xingmiao;ZHU Siyi;HU Hao;YAO Dongning(School of Pharmacy,Nanjing Medical University,Nanjing,Jiangsu,China 211166;Institute of Chinese Medical Sciences,University of Macao,Macao,China 999078;Faculty of Health Sciences,University of Macao,Macao,China 999078)

机构地区：[1]南京医科大学药学院,江苏南京211166 [2]澳门大学中华医药研究院,中国澳门999078 [3]澳门大学健康科学学院,中国澳门999078

出　　处：《中国药业》2025年第8期7-11,共5页China Pharmaceuticals

基　　金：国家自然科学基金[72204119];中国药科大学国家执业药师发展研究中心委托课题[ndrplc202303,ndrplc202302]。

摘　　要：目的为“双通道”政策背景下社会药房执业药师的持续发展提供建议。方法采用横断面研究法设计问卷,并于2024年11月至12月通过“问卷星”微信小程序向江苏省医保定点药房执业药师发放并回收,调研执业药师基本信息、药学服务内容和评价,以及继续教育需求。结果共发放问卷276份,回收有效问卷264份,有效回收率95.65%。根据是否来自“双通道”药房分为双通道组(190例)和非双通道组(74例)。两组均以女性、>40岁、本科及以上学历为主,仅主要工作年限略有差异。服务内容,双通道组选择“患者随访”的比例显著高于非双通道组,选择“患者用药咨询”的比例显著低于非双通道组(P<0.05);服务方式,双通道组选择“面访”“线上线下结合科普”的比例显著高于非双通道组(P<0.05)。两组在服务质量影响因素项的“药师专业知识”“患者依从性”得分,以及认为成为“双通道”药房会增加的药学服务项的“患者药物治疗和管理”“患者随访”“药品风险管理”得分有显著差异(P<0.05)。131名(49.62%)执业药师每月至少参加1次继续教育,且组间参加频率有显著差异(P<0.05)。培训途径,双通道组选择“行业学术会议”的比例显著高于非双通道组(P<0.05);内容需求,双通道组选择“新产品及其疗法介绍”的比例显著高于非双通道组(P<0.05)。结论“双通道”药房执业药师专业化药学服务更强,在继续教育方面也展现出更高的参与度和更强的专业提升意愿,体现出“双通道”政策在执业药师药学服务质量提升方面的推动作用,建议通过加强政策支持、优化继续教育体系和提升药房资源配置推动“双通道”政策持续发展。Objective To provide recommendations for the continuous development of licensed pharmacists in community pharmacies under the"Dual-Channel"policy.Methods A cross-sectional study method was used to design the questionnaire,and the questionnaire was distributed and recovered to licensed pharmacists in designated pharmacies of medical insurance in Jiangsu Province through the"Questionnaire Star"WeChat applet from November to December 2024.The basic information of licensed pharmacists,the content and evaluation of pharmaceutical care,and the needs of continuing education were investigated.Results A total of 276 questionnaires were distributed,and 264 valid questionnaires were recovered,and the effective recovery rate was 95.65%.According to whether they came from the"Dual-Channel"pharmacy,they were divided into a dual-channel group(190 cases)and a non-dual-channel group(74 cases).The two groups were mainly female,over 40 years old,bachelor degree or above,and only the main working years were slightly different.In terms of service content,the proportion of'patient follow-up'in the dual-channel group was significantly higher than that in the non-dual-channel group,and the proportion of"patient medication consultation"was significantly lower than that in the non-dual-channel group(P<0.05).In terms of service mode,the proportion of"face-to-face interview"and"online and offline combination of science popularization"in the dual-channel group was significantly higher than that in the non-dual-channel group(P<0.05).There were significant differences between the two groups in the scores of"pharmacist professional knowledge"and"patient compliance"in the influencing factors of service quality,as well as the scores of"patient drug treatment and management","patient follow-up"and"drug risk management"in the pharmaceutical service items that were considered to increase in"dual-channel"pharmacy(P<0.05).A total of 131(49.62%)licensed pharmacists participated in continuing education at least once a month,and there was significant dif

关 键 词：社会药房 执业药师 “双通道”政策 药学服务 

分 类 号：R95[医药卫生—药学]