医院临床药学服务能力的制约因素及对策探讨

Restricted factors of hospital clinical pharmaceutical care capability and discussion of improved countermeasures

目的:探索提高医院药师药学服务能力的有效举措。方法:在全国范围内对65家三级甲等医院医师、护士、药房药师和临床药师进行问卷调研,调研内容主要包括医院药学工作内容、临床药学服务工作方式、药师药学服务综合能力及医护人员对药师认知度等方面,并对采集的数据进行汇总和分析。结果和结论:调研结果表明,药师在医院从事的药学服务工作主要包括医嘱审核、门诊病人用药咨询、用药教育、药品调剂等。制约临床药师发展的因素主要有4项外部因素和6项内部因素,临床医护人员对药师药学服务能力提出了较高的要求,药师应全面提升自身素养以满足临床需要。医院药学部门应围绕不断提升药师的专业素养,建立适合我国国情的药学服务平台,以实现以病人为中心、合理用药为核心的药学服务模式,切实提高药学服务能力。

Objective： To explore effective measures for improving pharmaceutical care capability of the hospital. Methods： A questionnaire survey was made on the clinical physicians, nurses, dispensary pharmacists and clinical pharmacists in the 65 tertiary hospitals across the country. The contents of the survey included the scope of hospital pharmaceutical care, the mode of clinical pharmaceutical care, the comprehensive capability of pharmacist pharmaceutical care, as well as the rate of recognition by medical personnel of the hospital. Then, all the obtained data were summarized and analyzed. Results and Conclusion： Sur- vey results indicated that the main contents of clinical pharmaceutical care by pharmacists included the review of medical orders, medication consultation of outpatients, medication education, drug dispensing and so on. The main factors affecting further de- velopment of clinical pharmacists were 4 external and 6 internal factors. In view of higher demands on pharmaceutical care by clinical medical personnel, pharmacists should improve their professional quality to satisfy increasing clinical needs. With this in view, the pharmacy department should further improve the professional quality of clinical pharmacists and establish the phar- maceutical care platform suitable to the situation in China, so as to establish the new pharmaceutical care mode with the patient as the center and rational medication as the core, and ultimately enhance the pharmaceutical care capability of pharmacists.