甘肃省乡镇卫生院临床药学服务开展情况的调查分析

Investigation and Analysis of the Development of Clinical Pharmaceutical Care in Township Hospitals from Gansu Province

目的:为基层医疗卫生机构药学服务转型提供参考。方法:采用问卷调查和个人访谈的方式对甘肃省乡镇卫生院药学工作人员开展临床药学服务的情况进行调查,运用Epidata 3.0软件录入数据,采用SPSS 13.0软件对结果进行统计。结果:共发放问卷1 281份,回收有效问卷1 237份,有效回收率为96.57%。调查结果显示,15项临床药学工作中,"开展抗菌药物临床合理应用与管理"的比例最高,为55.54%;其次为"服务患者、医师,提供合理用药信息咨询"(54.16%)和"收集反馈药物信息"(50.04%);"参与会诊"的比例最低,仅为23.69%。结论:甘肃省乡镇卫生院临床药学服务工作开展不理想。乡镇卫生院药学工作人员应转变药学服务理念,探索符合基层医疗卫生机构实际的临床药学服务方式和内容。

OBJECTIVE：To provide reference for the transconformation of pharmaceutical care in primary medical institutions.METHODS：Questionnaire survey and personal interviews were used to investigate the development of pharmaceutical care by pharmacy staff from township hospitals in Gansu province. Epidata 3.0 and SPSS13.0 software were used to entry and analyze data. RESULTS：There were 1 281 questionnaires,and 1 237 effective questionnaires were recovered with recovery rate of 96.57%. Results of survey indicated,＂rational application and management of antibiotics＂occupied the highest proportion among 15 items of clinical pharmacy,accounting for 55.54%;followed by＂provide service for patients and physicians,and information consultation about rational drug use＂（54.16%）,＂collect and feed back drug information＂（50.04%） and＂participating in consultation＂（23.69%）. CONCLUSIONS：The development of clinical pharmaceutical care is not satisfactory in township hospitals from Gansu province. Pharmacy workers in township hospitals should change the concept of pharmaceutical care and explore the mode and content of clinical pharmaceutical care for township hospitals.