北京市二、三级医疗卫生机构中药临床药学开展现状调查分析

Investigation and Analysis of the Development of TCM Clinical Pharmacy in Second and Third Class Hospitals of Beijing

目的:为促进中药临床药学工作的开展提供参考。方法:采用问卷调查的方式,选取19家北京市二、三级医疗卫生机构,对临床中药师的人员结构、中药临床药学在各被调查机构开展的情况以及存在的问题进行调查分析。结果:发放调查问卷19份,回收有效问卷18份,有效回收率为94.7%。在18家被调查机构中,临床中药师开展出院带药教育的占27.8%,进行床边用药教育的占11.1%等;参加临床查房占55.6%,平均每周参加临床实践不足5小时;临床中药师缺乏临床实践经验、缺乏完善的工作模式等是主要存在的问题。结论:中药临床药学尤其是需要临床中药师到病房面对患者的工作如药历书写、出院带药教育、床边用药教育等工作开展现状并不理想,未来亟需完善临床中药师培养模式,加强临床中药师临床实践能力的培养,并尽早建立统一规范的临床中药师工作模式。

OBJECTIVE： To provide reference for promote the development of TCM clinical pharmacy. METHODS ： By questionnaire survey, 19 second and third class hospitals of Beijing were selected and investigated in the filed of the structure of clinical TCM pharmacist, the development and barriers of TCM clinical pharmacy in surveyed hospitals. RESULTS ： 19 questionnaires were sent out and 18 available questionnaires were returned with recovery rate of 94.7%. Among 18 surveyed institutions, 27.8% clini- cal TCM pharmacists provided medication education when discharging, and 11.1% provided medication education by the bed; 55.6% participated in clinical rounds, and clinical practice per week was less than 5 h; the main problem was that TCM pharma- cists lacked the experience of clinical practice and perfect working mode. CONCLUSIONS ： The development of TCM clinical pharmacy is not satisfactory, especially medication history writing, medication education when discharging, medication education by the bed. We should improve training pattern of TCM pharmacists, the ability of clinical practice urgently and establish uniform and standard working mode as soon as possible.