成都市公立医院药事服务开展情况调查研究

Surveying the status of pharmaceutical services in state-owned hospitals of Chengdu

目的:了解成都市公立医院药事服务情况,以及医药工作者对于药事服务费的收费意愿(收费方式和收费水平),为药事服务费的定义和测算提供依据。方法:采取分层随机抽样的方法选取调查对象,用自行设计的问卷进行现场调查。结果:医药工作者对药事服务费认识中两项内容的应答人数百分比小于75%;10项药事服务中,医师药师分别承担三项、两项。共同承担三项,两项未开展;药事服务费收费方式选择排首位,门诊和住院分别是按人次(37.3%)和按药品种类(37.3%)。结论:成都市公立医院医药工作者对药事服务认识不够;药事服务水平低;医师、药师药事服务分工不明确。

Objective To study the status of pharmaceutical services in state-owned hospitals of Chengdu,explore pharmacists and physicians＇intention to charge pharmaceutical services,and provide evidence for the definition and calculation of pharmaceutical service fee.Methods Samples were selected by stratified random sampling,and surveyed with self-designed questionnaire.Results Less than 75% of the participants responded to the section of ＂Perception of Pharmaceutical Service Fee＂ in the questionnaire.For the 10 items of pharmaceutical services,two items were independently undertaken by pharmacists,three items were independently undertaken by physicians,another three were taken by both pharmacists and physicians,and the last two were not provided.In the aspect of charging methods of pharmaceutical services,charging according to person-time and to the pharmaceutical categories ranked the highest for outpatient（37.3%）and inpatient pharmaceutical services（41.2%）,respectively.Conclusion Pharmacists and physicians in state-owned hospitals of Chengdu had inadequate knowledge on pharmaceutical services.The pharmaceutical services were still at low level.There was also an unclear division between pharmacists and physicians＇responsibility in providing pharmaceutical services.