我国医疗机构药学门诊开展现状调查

杨丽娟; 万明媛; 张威; 张宇晴; 陆进; 甄健存; 沈群红

doi:10.6039/j.issn.1001-0408.2024.02.02

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我国医疗机构药学门诊开展现状调查

药事管理 | 更新时间：2024-01-24

- 我国医疗机构药学门诊开展现状调查
- Investigation of the current situation of pharmaceutical clinics in medical institutions in China
- 中国药房 2024年35卷第2期页码：134-139
- 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：
  
  副主任药师，硕士。研究方向：临床药学、药事管理。E-mail：yanglj316@126.com
  通信作者主任药师，硕士。研究方向：医院药学、临床药学、药事管理。E-mail：zhenjiancun@163.com
  通信作者副教授，博士。研究方向：医院药学变革。E-mail：shenqh@tsinghua.edu.cn
- 基金信息：
- DOI：10.6039/j.issn.1001-0408.2024.02.02
  中图分类号： R95
- 纸质出版日期：2024-01-30，
  
  收稿日期：2023-08-07，
  
  修回日期：2023-12-22，
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

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

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

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（

＜0.05）。

结论

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

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

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

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（

＜0.05）.

CONCLUSIONS

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

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