医院门诊药师医师对药学服务的认知与需求的现状调查

A Survey of Cognition and Demand of Pharmaceutical Care among Outpatient Pharmacists and Clinicians

目的对某市医院门诊药师医师对药学服务的认知与需求的现状进行调查,分析药师医师对门诊用药的认知、药学服务的认知和药学服务的需求的差异,寻求该市医院药学服务有效开展的对策。方法自制调查问卷,从药师医师对门诊用药的认知、药学服务的认知和药学服务的需求等方面,对某市二甲、三甲医院医院门诊药师医师的药学服务认知与需求现状进行调查,并比较分析。结果三甲医院门诊药师医师的药学用药认知与二甲医院医师的用药认知比较在较多方面存在显著差异(P<0.05),集中于药物信息了解渠道、对患者进行药物使用信息介绍、给予患者医疗方案时考虑的药物因素、制订用药方案时如何处理用药问题等方面。药师医师对药学服务认知方面:三甲医院门诊药师医师对药学服务认知与二甲医院医师的药学服务认知比较在较少方面存在显著差异(P<0.05),仅集中于对门诊药学服务内容的了解和对实施门诊药学服务的影响因素的认知2个方面。药师医师对门诊药学服务需求方面:二甲、三甲医院门诊药师医师均对门诊药学服务的需求内容有所了解,各调查选项比较无显著差异(P>0.05)。但二甲、三甲医院门诊药师医师所在医院实际开展的门诊药学服务内容在用药宣教、处方分析、用药追踪和药学科研这4个方面比较具有显著差异(P<0.05)。结论该市医院门诊药师医师对药学服务的认知尚不够完善,门诊药师医师虽然理解患者对门诊药学服务的需求,但医院药学服务发展尚有待完善,因此,应督促医院根据患者对门诊药学服务的需求,建立符合医院实际情况的药学服务体系,为门诊药师提供发挥其专业作用的平台。

Objective To investigate the cognition and demand of pharmaceutical care among outpatient pharmacists and doctors in hospitals in a city,and to propose countermeasures for better services.Methods A total of 342 outpatient pharmacists and doctors in two third-class hospitals and two second-class hospitals were investigated with a self-made questionnaire.The data collected was carefully analyzed.Results There were great differences between clinicians from third-class hospitals and second-class hospitals in pharmaceutical cognition and care（ both P〈0.05）,but not in the cognition of pharmaceutical demand（ P〉0.05）.The difference in pharmaceutical cognition centered on channels of drug information,introduction of drug use to patients,and drug-related factors considered during administration.The difference in pharmaceutical care concerned the content and influencing factors of outpatient pharmacy services.Differences in explanations of use of pharceuticals,prescription analysis,followup and pharmaceutical research were also observed（ P〈0.05）.Conclusion There are still defects in the pharmaceutical care system in hospitals and improvements need to be made.