我国医院药学服务及临床药学开展现状调查(二)——临床药学工作开展状况调查

Survey on Hospital Pharmaceutical Care in China and the Status Quo of Clinical Pharmacy Practice(Part 2):Survey on Status Quo of Clinical Pharmacy Practice

目的:了解我国医院临床药学工作的开展情况。方法:采用信函式问卷调查,对通过分层、定距抽样选取的600家样本医院、42家临床药师制试点医院进行我国医院临床药学工作开展状况调查,并对结果进行统计分析。结果与结论:在回收的310份调查问卷中,处方点评、药物不良反应监测及药物信息咨询服务等临床药学工作开展的比例均较高,而书写药嘱及药-食相互作用监测工作开展比例相对较小;试点医院临床药学工作优于一般医院,尤其在药物治疗监测和个体化给药方面。临床药学人员素质整体仍较低,数量较少;临床药学工作经费投入及临床药师作用仍有待加强。

OBJECTIVE： To probe into the status quo of the practice of clinical pharmacy in hospitals of China. METHODS： A mailed questionnaire survey was conducted among 600 sample hospitals and 42 clinical pharmacist work system pilot hospitals based on stratified sampling regarding the status quo of the clinical pharmacy practice in China. And the results were subjected to statistical analysis. RESULTS ＆ CONCLUSIONS： A total of 310 questionnaires were sent back, which revealed that the proportions of developing clinical pharmaceutical services including prescription evaluation, ADR monitoring, drug information consultation in hospitals at different level were high, but the proportions of developing such pharmaceutical services as medication orders＇ writing and drug - food interaction monitoring were low. The pilot hospitals had better clinical pharmacy services as compared with common hospitals, much as in drug therapy monitoring and individualized medication therapy. The clinical pharmacists were characterized by low quality and scanty numbers. The financial support to clinical pharmacy and the role of the clinical pharmacists remain to be intensified.