社区药学服务调查报告Ⅰ

Investigation Report of Community Pharmaceutical Service Ⅰ

目的调查分析不同人群对社区药学服务的知晓与需求情况,为社区药学服务的有效开展提供科学依据。方法对温州12个社区的居民、药师、医护人员及卫生管理者进行问卷调查,并对调查数据进行统计、分析。结果 79.42%的社区居民对药师的职责认识不全面,63.02%的居民不了解药学服务内容,但经过讲解,86.67%的居民认为社区药学服务重要,他们主要在用药指导和咨询服务(50.38%)、推荐安全有效经济的药品(49.27%)等方面存在需求;另外,46.67%的社区医护人员对社区药师的职责认识不全面,43.81%的人对药学服务不了解,经过讲解,96.19%的医护人员认识到药学服务的重要性,社区医护人员主要在不良反应(81.4%)、配伍禁忌(71.9%)、注意事项(70.5%)等药学服务需求比较突出;55%的社区卫生管理者对药师职责认识不全面,65%的人对药学服务的概念不了解,但经过讲解,90%的人对药学服务的开展表示支持;18.75%的社区药师对自身的工作职责认识不全面,37.5%对社区药学服务的认识不足,98.44%认为有必要开展社区药学服务,并希望通过不同渠道提升自身业务水平。结论目前不同人群对社区药学知晓率较低,但对药学服务的需求却很大。面对医疗体制改革,社区药师首先要提高自身素质,还需要通过多方面努力得到社区居民、医护及卫生管理者的支持和理解,才能更好、更全面地开展社区药学服务。

OBJECTIVE To investigate and analyze the different groups of community pharmacy care awareness and demand, therefore, providing the scientific basis for the effective development of community pharmacy cares. METHODS A large questionnaire survey was conducted in 12 communities, which includes residents, pharmacists, nurses and health management. The data was summarized and statistics finally. RESULTS According to the results, more than 79.42% of residents are not fully learned about the responsibility of pharmacist. 63.02% of residents do not understand pharmacy care. However, 86.67% residents believe that the community pharmacy cares are very valuable after introduction. Guidance and counseling cares（50.38%）, the recommended safe and effective economic drug（49.27%） are the most necessary for them. Thereafter, more than 46.67% community health workers do not fully understand community pharmacists’ responsibilities. 43.81% of them do not fully understand the pharmaceutical cares. But, after explaining, 96.19% medical personnel are aware of the importance of pharmaceutical care. Adverse drug reactions（81.4%）, incompatibility of drugs（71.9%）, matters need attention（70.5%） are the priority demand for them. Meanwhile, more than 55% of the community health management of the clinical pharmacist does not fully make sense of pharmacists’ responsibility, 65% of them don’t know the concept of pharmaceutical cares. After introduction, 90% of them support these cares. Only 18.75% community pharmacists do not fully get the idea about pharmacists’ responsibility. 37.5% lack of the awareness of community pharmacy cares. However, 98.44% of them think it is necessary to carry out community pharmaceutical care, and hope that through different channels to enhance their business Level. CONCLUSION The awareness of responsibility of community pharmacy is poor among the different groups, but the demand of pharmacy care is huge. Facing the reform of medical system, community pharmacists should improve their own quality, then make effort to get the support and understand from community residents, the medical and health management. Only through this way can they do better during community pharmaceutical care.