浏览全部资源
扫码关注微信
- Journal Information
- Archive
- Submission
- For Reviewers
- Statement and Policies
Investigation of the current situation of pharmaceutical clinics in medical institutions in China
- ZHONGGUO YAOFANG Vol. 35, Issue 2, Pages: 134-139(2024)
- 作者机构：
1.首都医科大学附属北京积水潭医院药学部，北京 100035
2.清华大学公共管理学院卫生与发展研究中心，北京 100084
3.北京大学药学院， 北京 100191
4.中国医院协会药事专业委员会，北京 100035
- 作者简介：
- 基金信息：
DOI：10.6039/j.issn.1001-0408.2024.02.02
CLC： R95Published：30 January 2024，
Received：07 August 2023，
Revised：22 December 2023，
扫 描 看 全 文
杨丽娟,万明媛,张威等.我国医疗机构药学门诊开展现状调查[J].中国药房,2024,35(02):134-139.
YANG Lijuan,WAN Mingyuan,ZHANG Wei,et al.Investigation of the current situation of pharmaceutical clinics in medical institutions in China[J].ZHONGGUO YAOFANG,2024,35(02):134-139.
杨丽娟,万明媛,张威等.我国医疗机构药学门诊开展现状调查[J].中国药房,2024,35(02):134-139. DOI： 10.6039/j.issn.1001-0408.2024.02.02.
YANG Lijuan,WAN Mingyuan,ZHANG Wei,et al.Investigation of the current situation of pharmaceutical clinics in medical institutions in China[J].ZHONGGUO YAOFANG,2024,35(02):134-139. DOI： 10.6039/j.issn.1001-0408.2024.02.02.
摘要
目的
2
调查我国医疗机构药学门诊现状，为促进药学门诊发展提供经验和建议。
方法
2
采用问卷调查法，于2023年3－4月调查全国31个省（自治区、直辖市）医疗机构药学门诊的开展情况，对结果进行描述性分析，并对药学门诊服务量的影响因素进行回归分析。
结果
2
本次调研共发放问卷1 368份，收回有效问卷1 304份，问卷有效回收率为95.32%。有463家医疗机构开展了药学门诊，药学门诊开展率为35.51%（463/1 304），其中三级、二级、一级及其他医疗机构药学门诊的开展率分别为52.80%、17.18%、5.88%。药学门诊开设频率为平均每周3.17 d，平均每家医疗机构有出诊药师5.99名，出诊药师中临床药师占绝大多数（88.68%，2 459/2 773）。受访医疗机构开设的药学门诊类别多样，包括联合门诊和药师独立门诊，以药师独立门诊中的药学专科/专病门诊为主，占药学门诊总数量的89.72%。药学门诊出诊药师的价值体现形式多样，其中对药学门诊收费的医疗机构占比为10.80%。受访医疗机构开展药学门诊的主要经验是重视学科建设和重视人才培养，面临的主要困难是补偿水平低和符合要求的人才严重不足。临床药师人数、药学门诊出诊药师人数、有额外补偿与药学门诊服务量呈显著正相关（
P
＜0.05）。
结论
2
我国医疗机构药学门诊取得了较大发展，今后仍需进一步加强学科建设和人才培养，重视出诊药师的价值体现，以促进药学门诊健康发展。
Abstract
OBJECTIVE
2
To investigate the current situation of pharmaceutical clinic service in medical institutions in China and provide experience and suggestions for promoting the development of pharmaceutical clinics.
METHODS
2
Questionnaire survey was used to investigate the development of pharmaceutical clinics in medical institutions of 31 provinces （autonomous regions and municipalities directly under the central government） in March to April 2023， and the descriptive analysis was conducted. The regression analysis was carried out for the influential factors of pharmaceutical clinic service.
RESULTS
2
A total of 1 368 questionnaires were distributed in this survey and 1 304 valid questionnaires were collected with the effective response rate of 95.32%. A total of 463 medical institutions carried out pharmaceutical clinic service， the rate of which was 35.51% （463/1 304）； the rates of pharmaceutical clinics in tertiary， secondary， primary and other medical institutions were 52.80%， 17.18% and 5.88%， respectively. The frequency of opening pharmaceutical clinics was 3.17 days per week on average， with an average of 5.99 visiting pharmacists in each medical institution. Among the visiting pharmacists， clinical pharmacists accounted for the vast majority （88.68%， 2 459/2 773）. There were various categories of pharmaceutical clinics， including joint clinics and pharmacist-independent clinics； among pharmacist-independent clinics， pharmaceutical specialty/specialty disease clinics were the main ones， accounting for 89.72% of the total number of pharmaceutical clinics. The value of pharmacists in pharmaceutical clinics was manifested in various forms， among which the proportion of medical institutions charging pharmaceutical clinics was 10.80%. The main experiences in developing pharmaceutical clinics were to attach importance to discipline construction and personnel training. The main difficulties in developing pharmaceutical clinics were low compensation levels and a shortage of talent. The number of clinical pharmacists， the number of visiting pharmacists in pharmaceutical clinics and additional compensation were positively correlated with the amount of pharmaceutical clinic services（
P
＜0.05）.
CONCLUSIONS
2
In recent years， pharmaceutical clinics have made significant progress； in the future， it is still necessary to further strengthen discipline construction and talent cultivation， pay attention to the value embodiment of pharmacists， to promote the healthy development of pharmaceutical clinics.
关键词
药学门诊现状调查问卷价值体现
Keywords
current situationquestionnaire surveyvalue embodiment
references
国家卫生健康委办公厅.国家卫生健康委办公厅关于印发医疗机构药学门诊服务规范等5项规范的通知[EB/OL].（2021-10-09）[2023-07-28].http：//www.nhc.gov.cn/yzygj/s7659/202110/f76fc77acd87458f950c86d7bc468f22.shtmlhttp://www.nhc.gov.cn/yzygj/s7659/202110/f76fc77acd87458f950c86d7bc468f22.shtml.
General Office of National Health Commission.Notice of the General Office of the National Health Commission on the issuance of five norms including pharmaceutical out-patient services norm in medical institutions[EB/OL].（2021-10-09）[2023-07-28].http：//www.nhc.gov.cn/yzygj/s7659/202110/f76fc77acd87458f950c86d7bc468f22.shtmlhttp://www.nhc.gov.cn/yzygj/s7659/202110/f76fc77acd87458f950c86d7bc468f22.shtml.
马葵芬，陈奕何，姜赛平，等. 国外药师门诊的开设及作用评价[J]. 中国药学杂志，2018，53（1）：76-80.
MA K F，CHEN Y H，JIANG S P，et al. The establishment and evaluation of foreign pharmacist-managed clinic[J]. Chin Pharm J，2018，53（1）：76-80.
周鹏翔，周欣，谢菡，等.我国医疗机构药学门诊的实践现状与效果评价[J/OL].中国医院药学杂志，2023（2023-07-26）[2023-07-28].https：//kns.cnki.net/kcms2/detail/42.1204.R.20230725.1345.002.htmlhttps://kns.cnki.net/kcms2/detail/42.1204.R.20230725.1345.002.html.
ZHOU P X，ZHOU X，XIE H，et al. Evaluation of the current practice status and effectiveness of pharmacist-managed clinics in Chinese hospitals[J/OL].Chin J Hosp Pharm，2023（2023-07-26）[2023-07-28].https：//kns.cnki.net/kcms2/detail/42.1204.R.20230725.1345.002.htmlhttps://kns.cnki.net/kcms2/detail/42.1204.R.20230725.1345.002.html.
郑婷婷，邵晓楠，吴岢非，等. 我国医院药学门诊现状调查及对策研究[J]. 中国医院，2020，24（2）：5-7.
ZHENG T T，SHAO X N，WU K F，et al. Investigation and countermeasure research on the current situation of pharmacist-managed clinics in Chinese hospitals[J]. Chin Hosp，2020，24（2）：5-7.
田塬，杨长皓，李亚玲. 四川省25所公立医院药学门诊开展情况调查研究[J]. 中国医院，2022，26（2）：8-10.
TIAN Y，YANG C H，LI Y L. Investigation and research on the development of pharmacy outpatient service in 25 public hospitals in Sichuan Province[J]. Chin Hosp，2022，26（2）：8-10.
张昕怡，万青，唐宁佳，等. 全国三甲医院药学门诊开设情况网上调查[J]. 中国药学杂志，2021，56（10）：849-853.
ZHANG X Y，WAN Q，TANG N J，et al. A national online survey of pharmacist-managed clinics in tertiary hospitals in China[J]. Chin Pharm J，2021，56（10）：849-853.
丁元林，孔丹莉，毛宗福. 多重线性回归分析中的常用共线性诊断方法[J]. 数理医药学杂志，2004，17（4）：299-300.
DING Y L，KONG D L，MAO Z F. Common collinearity diagnosis methods in multiple linear regression analysis[J]. J Math Med，2004，17（4）：299-300.
杨雪容，何元媛，杨柔，等. 药学门诊实践及其对提高医院医疗质量的促进作用[J]. 医药导报，2023，42（5）：639-644.
YANG X R，HE Y Y，YANG R，et al. Practice of pharmacist-managed clinic and its promoting effect on medical quality in hospitals[J]. Her Med，2023，42（5）：639-644.
杜姗，李晓宇，舒永全，等. 医疗机构药学服务规范：第1部分：药学门诊[J]. 中国药房，2019，30（23）：3174-3175，3179.
DU S，LI X Y，SHU Y Q，et al. Specification for pharmaceutical service in medical institutions：part 1：pharma-ceutical outpatient service[J]. China Pharm，2019，30（23）：3174-3175，3179.
杨丽娟，甄健存，黄品芳，等. 药学门诊标准制订与解析[J]. 医药导报，2022，41（10）：1435-1438.
YANG L J，ZHEN J C，HUANG P F，et al. Formulation and analysis on the standard of pharmaceutical clinic[J]. Her Med，2022，41（10）：1435-1438.
广东省药学会.关于发布《药学门诊试行标准》的通知[EB/OL].（2018-08-20）[2023-07-28].http：//www.sinopharmacy.com.cn/notification/1390.htmlhttp://www.sinopharmacy.com.cn/notification/1390.html.
Guangdong Pharmaceutical Association. Notice on the Issuing the Trial Standards for Pharmacy Outpatient Service[EB/OL].（2018-08-20）[2023-07-28].http：//www.sinopharmacy.com.cn/notification/1390.htmlhttp://www.sinopharmacy.com.cn/notification/1390.html.
上海市医学会，上海市药学会，上海市医疗机构协会，等.上海首次发布药事服务规范暨相关疾病药物临床应用路径[EB/OL].（2019-11-18）[2023-07-28].https：//wsjkw.sh.gov.cn/xwfb/20191119/0012-66343.htmlhttps://wsjkw.sh.gov.cn/xwfb/20191119/0012-66343.html.
Shanghai Medical Association，Shanghai Pharmaceutical Association，Shanghai Hospital Association，et al. Shanghai releases pharmaceutical service standards and clinical application pathways for related disease drugs for the first time[EB/OL].（2019-11-18）[2023-07-28].https：//wsjkw.sh.gov.cn/xwfb/20191119/0012-66343.htmlhttps://wsjkw.sh.gov.cn/xwfb/20191119/0012-66343.html.
周博雅，田月，韩容，等. 中国药学服务门诊开展及收费现状调查与分析[J]. 药品评价，2017，14（2）：8-13.
ZHOU B Y，TIAN Y，HAN R，et al. Status quo and analysis of pharmacy outpatient services in China[J]. Drug Eval，2017，14（2）：8-13.
0
Views
20
下载量
0
CSCD
- L-PDFDownload
- WORDDownload
- Meta-XMLDownload
- BibTeXDownload
- EndnoteDownload
- RefMan Download
- NoteExpressDownload
- NoteFirstDownload
Publicity Resources
Related Articles
Related Author
Related Institution
- Address：8/F,129 Daping Main Street,Yuzhong District,Chongqing 400042,P.R.China
- Technical support is provided by Beijing Founder Electronics co., LTD 渝ICP备15012710号
公网安备50010302001817 - It is recommended to read the content of this site in Chrome&IE9+. Please switch to extreme mode in browser 360.
- Cookies We use cookies to help provide and enhance our service and tailor content. By continuing, you agree to the use of cookies.