对农村社区卫生服务站药房管理现状的调查与思考

Survey and Consideration on the Current Situation of Pharmacy Management in Rural Community Health Service Station

目的:调查农村社区卫生服务站药房管理现状并提出对策建议。方法:对湖州市南浔区145家农村社区卫生服务站药房工作人员进行问卷调查,涉及人员、药品存储环境和制度执行等方面的15个相关问题;实地走访调查其中112家服务站以了解药房的实际环境、药品摆放、制度的执行、出入库记录和养护记录等情况;针对调查了解到的现状提出管理建议。结果:调查问卷发放、回收均为145份;调查结果发现,145个服务站中具有药学专业学历的人员只有22名,占药房工作人员的15.17%。走访的112家服务站中,各项药房管理制度虽制定齐全,但药品入库记录和养护记录齐全的分别只占4.46%、2.68%。结论:目前在农村社区卫生服务站的药房管理中存在药学专业人员缺乏、药品存储环境不达标以及药品管理制度执行不力等情况。建议通过建立专业人员定向培养机制,药品网上采购、网下配送,开展规范药房建设活动等措施加强和改善农村社区卫生服务站的药房管理。

OBJECTIVE：To survey the current situation of pharmacy management in rural community health service station,put forward some countermeasures and suggestions.METHODS：Questionnaire survey was conducted among pharmacy staff of 145 rural community health service stations in Huzhou Nanxun District,involving 15 related issues as personnel,drug storage enviroment and system implementation.The filed investigation was conducted in 112 service stations in respects of environment,drug display,system implementation,outstock/instock record,maintenance record.Suggestions were put forward according to situation.RESULTS：145 questionnaires were sent and returned.Survey results showed that only 22 staff owned pharmacy educational background in 145 stations,accounting for 15.17% of total.Among 112 stations visited,pharmacy management system was complete,but the satiations with complete instock records and maintenance record accounted for only 4.46% and 2.68% respectively.CONCLUSIONS：At present,the problems exist in pharmacy management of rural community health service stations,such as pharmacy professionals absence,drug storage environment dissatisfaction and uncompleted drug management system.It is recommended to strengthen and improve pharmacy management of rural community health service station through establishing directional training mechanism,online procurement and offline distribution of drug and carrying out pharmacy standard construction,etc.