川南地区35家医院药学部门基本情况调查

Investigation and Analysis of General Situation of Pharmacy Department in 35 Hospitals of South Sichuan

目的:为促进川南地区医院药学及临床药学的发展提供参考。方法:采用问卷调查法,从药学部门分区布局、人员情况和工作内容3个方面,对川南地区4个城市二、三级医院进行调查,并对结果进行统计分析。结果:共计发放调查问卷40份,回收有效问卷35份,有效回收率为87.50%。大多数受访医院药学部门分区布局不够合理,药品调剂室和药品库房屋面积达标率均在85%以下。35家受访医院共配备1 042名药师,均以45岁以下年轻女性为主。在二、三级医院,药学专业技术人员占医院卫生专业技术人员总数的比例、药学或临床药学专业全日制本科以上学历的比例、副高以上职称的比例分别为4.78%和3.67%、17.37%和31.27%、3.15%和10.73%。专职临床药师数量二、三级医院分别为24、69名,以初、中级职称和本科学历为主,其中26名(27.96%)通过国家卫生计生委临床药师岗位培训,4名(4.30%)通过带教师资培训。受访医院药师主要从事药品调剂工作,从事临床药学工作的药师在二、三级医院分别占6.32%、11.03%。结论:目前川南地区医院药学部门分区布局不够合理,高学历、高职称人才匮乏,尤其是临床药学专业人才,并且不同等级医院情况存在一定差异,医院药学工作主体需要向临床药学转型。

OBJECTIVE： To provide reference for development of hospital pharmacy and clinical pharmacy in south Sichuan. METHODS ： Questionnaire was used to investigate the general situation of secondary and tertiary hospitals in 4 cities of south Sich- uan in aspects of partition layout, staffing situation and job content. The results were statistically analyzed. RESULTS：A total of 40 questionnaires was sent out, 35 were effectively received with the effective rate of 87.50%. The partition layout was unreasonable in most surveyed hospitals, and the rate of reaching the standard about the area of drug dispensing sector and warehouse was below 85%. There were 1 042 pharmacists in 35 hospitals, which were mainly female of younger than 45 years old. In secondary and ter- tiary hospitals, the rate of pharmaceutical professional and technical personnel of health technology, full-time undergraduate and vice-high above title accounted for 4.78% and 3.67%, 17.37% and 31.27%, 3.15% and 10.73%, respectively. The number of full-time clinical pharmacists was 24 and 69 in secondary or tertiary hospitals, mainly primary title, middle title and undergradu- ate, of whom 26 （27.96%） passed job training of National Health and Family Planning Commission, 4 （4.30%） passed teaching qualifications training. The rate of pharmacists mainly engaged in drug dispensing and clinical pharmacy was 6.32% and 11.03% in secondary and tertiary hospitals, respectively. CONCLUSIONS： The research shows irrationality of partition layout, the shortage of highly educated and highly titles personnel, especially the clinical pharmacy professionals. The large differences exist in hospitals of different levels in several aspects, and the main body of hospital pharmacy should turn to clinical pharmacy.