湖北省321家二级以上医疗机构药学资源配置情况调查

Investigation of Pharmaceutical Resources in 321 Medical Institutions above the Second Level in Hubei Province

目的:了解湖北省二级以上医疗机构药学资源配置的现状,为制定药师管理相关规定及提升药学服务质量提供参考,完善药学人员的合理配置提供依据。方法:对湖北省93家三级医疗机构和228家二级医疗机构药学部人员基本情况进行问卷调查,具体包含药学部门负责人及员工职称、学历及年龄分布情况,和是否具备相关部门,如门诊药房、中药饮片药房、临床药学室、制剂室、静脉用药集中调配中心等,将收集的数据输入Excel软件建立数据库进行统计分析,并提出建议。结果:总体上看,各级医疗机构药学技术人员占比无明显差异(P>0.05),而三级医疗机构高学历、高职称的药学人员、临床药师显著多于二级(P<0.01),尤其是青年药师(年龄≤30岁)比例,且相关硬件配套设施如临床药学室、制剂室、静脉用药集中调配中心、独立的住院部药房、独立的急诊药房等设施占比显著高于二级(P<0.01)。结论:二级以上医疗卫生机构药学专业技术人员数量不足,需要加强药学人力资源合理配置,提高药学人员学历、职称,优化年龄结构,尤其是二级医疗机构,急需加强青年药师及参与临床药师培训的数量,提高药师队伍素质,以促进医院药学事业的发展。

Objective: To investigate the current situation of pharmaceutical resources in medical institutions above the second level in Hubei province to provide references for formulating relevant regulations for the management of pharmacists and improving the quality of pharmaceutical services,and to provide basis for the rational allocation of pharmacy staff. Methods: A questionnaire survey was conducted on the basic situation of pharmacy department in 93 third-level medical institutions and 228 second-level medical institutions in Hubei province,which included titles,academic qualifications and age distribution of the persons in charge and employees of pharmacy department,and relevant departments,such as outpatient pharmacies,Chinese medicine decoction pieces pharmacies,clinical pharmacy rooms,preparation rooms and PIVAS,etc. The data were collected into Excel software to establish a database for statistical analysis,and recommendations were provided. Results: Generally speaking,there was no significant difference(P> 0.05) in the proportion of pharmacy technicians in all medical institutions(0.06±0.03 vs.0.05±0.02;P = 0.21),while there were significantly more pharmacists with high education and high titles,and clinical pharmacists in third-level medical institutions than in the second-level ones(P<0.01),especially the proportions of young pharmacists(age ≤ 30 years old) and related hardware supporting facilities,such as clinical pharmacy rooms,preparation rooms,PIVAS,independent inpatient pharmacies and independent emergency pharmacies,etc were all significantly higher in the third-level ones than that in the second-level ones(P<0.01). Conclusion: The number of pharmacy professional technicians in medical and health institutions above the second level is insufficient. It is necessary to strengthen the rational allocation of pharmaceutical human resources,improve the academic qualifications and professional titles of pharmacy personnel,and optimize the age structure,especially for the second-level medical institutions,it is urgent to strengthen young pharmacists to participate in the training of clinical pharmacists,so as to do improve the quality of pharmacist team and promote the development of hospital pharmacy.