苏州市姑苏区社区卫生服务机构药学服务现况探讨

Investigation of Current Situation of Pharmaceutical Care in Community Health Service Institutions of Gusu District of Suzhou

目的 :调查苏州市姑苏区社区卫生服务机构开展药学服务的现况,探讨其发展。方法:设计调查问卷,对部分药学人员、临床医师开展调查。结果:药学人员和临床医师对药学服务均有较高的认知,绝大多数被调查人员认为有必要开展社区药学服务,服务对象为社会公众、患者、临床医师。仅少数调查对象认为药学人员在校学习的知识能满足开展社区药学服务需要。目前已开展的社区药学服务内容主要是药品调剂、参与机构药品遴选和药物信息宣传。此外,可开展的药学服务内容有患者用药咨询和指导、处方点评、参与全科团队等。半数以上调查对象认为开展社区药学服务存在障碍,主要是药学人员自身专业知识所限,其次是领导不够重视。结论:重视社区药学服务,加强专业培训,开展形式多样的药学服务,才能更好促进合理用药。

Objective： To investigate the current situation of pharmaceutical care in the community health service institutions in Gusu district of Suzhou city and to explore the way of development . Methods： By using a self-designed questionnaire , an investigation was conducted among pharmacists and clinical physicians . Results： Both pharmacists and clinical physicians had a high level of cognition of pharmaceutical service and most of them considered it is necessary to provide the pharmaceutical care in community health service for social public , patients and clinical physicians . Only a few respondents thought the knowledge that pharmacists obtained from college could meet the requirements of pharmaceutical care . At present , drug dispensing , drug selection and drug information publicity were the main items which have been carried out in community health service . In addition , other pharmaceutical services are to be performed such as medication consultation and guidance to patient , prescription review and participation in the whole team of general practitioners , etc . More than half of the respondents believed that there were obstacles in community pharmaceutical service due to the limited professional knowledge of pharmacy personnel and not enough attention paid by the leadership . Conclusion： In order to promote rational medication , it is important to pay more attention to the community pharmaceutical service , strengthen professional training and carry out diversified forms of pharmaceutical services .