湖南永州农村地区357家零售药店药学服务的现状调查

Investigation of Pharmaceutical Services by 357 Retail Pharmacies in Rural Area in Yongzhou of Hunan Province

目的:为促进和强化湖南永州农村地区零售药店开展药学服务提供参考。方法:通过对湖南永州农村地区357家零售药店的服务理念、服务方式、服务流程、服务内容、软硬件设施及从业人员的专业素质等13个方面进行调查,了解其开展药学服务的现状。结果与结论:该地区有78.9%的药店存在执业药师或药师挂靠现象,从业人员中仅有53.3%是药学专业毕业;每年参加培训的人员比例不足30.0%,平均培训时间不超过8小时;65.3%的药店从业人员尚未树立药学服务理念;未配备基本药学服务软硬件设施的药店达47.0%,未建立药学服务管理流程的达87.4%;不足10.0%的零售药店开展了药学上门服务。应该通过强化零售药店从业人员管理和培训、规范药店药学服务内容、建立标准化的药学服务流程、明确药店基本药学服务软硬件设施的配置、加强对药店药学服务绩效的考核与评价、督促药店药学服务社会功能的发挥等,实现居民安全、有效、合理用药。

OBJECTIVE：To provide a reference for promoting and strengthening pharmaceutical services by retail pharmacies in rural area in Yongzhou of Hunan. METHODS：Investigation was conducted on 13 aspects including the service concept,service mode,service process,service contents,hardwares and softwares and professional quality of practitioners of 357 retail pharmacies in rural area in Yongzhou of Hunan to know about current pharmaceutical services. RESULTS ＆amp; CONCLUSIONS：In this area, 78.9% of pharmacies operated in the name of a licensed pharmacist or pharmacist who did not work in that pharmacy;only 53.3%of practitioners were pharmacy graduates;the proportion of the practitioners who takes part in training every year was less than 30.0%,average training time was not more than 8 hours;65.3% of practitioners in the pharmacies were not aware of the concept of pharmaceutical services;the pharmacies which were not equipped with basic hardwares and softwares for pharmaceutical servic-es accounted for 47.0%,those which had not established a pharmaceutical service management process accounted for 87.4%;and less than 10.0% of retail pharmacies provided door-to-door pharmaceutical services. Safe,effective and rational drug use should be achieved by intensifying the management and training for retail pharmacy practitioners,standardizing the contents of pharmaceutical services,establishing standard pharmaceutical service process,defining basic hardwares and softwares for pharmaceutical services, strengthening performance appraisal and evaluation for pharmaceutical services and urging the pharmacy to serve society.