云南省医疗卫生机构药学人员队伍建设情况调查及对相关立法的建议

Investigation of the Construction Situation for Pharmacist Team in Medical and Health Institutions in Yunnan Provence and Legislative Suggestions

目的：为我国的药师立法提供数据和参考。方法：设计调查表，对云南省16个州（市）的各级医疗卫生机构药学人员的配备情况、学历构成、专业构成、年龄构成、职称构成、继续教育情况、工资待遇情况等进行调查和统计分析，并就相关立法提出建议。结果：共收回省级医疗卫生机构调查表10份，各州（市）卫生计生委汇总调查表16份，有效回收率100％；数据涵盖全省1561家医疗卫生机构，涉及药学人员共7409名。三级、二级、一级医院的药学人员数/住院床位数分别为1∶15.49、1∶17.50、1∶20.68，药学人员数/医院卫生专业技术人员数分别为5.62％、6.18％、5.30％；三级医院药学人员学历以本科为主（35.21％），博士占0.15％，二级和一级医院以专科为主（41.60％和57.51％）；三级医院药学人员绝大多数为药学专业（94.14％），而二级医院药学专业占70.22％，一级医院仅占10.50％；三级、二级、一级医院药学人员均以药师职称为主（33.83％、37.89％、63.55％），高级职称占比分别为5.88％、2.71％、0.21％；仅少部分药学人员有进修学习经历，三级、二级、一级医院药学人员进修累计时间均以0～＜6个月最多（9.17％、5.84％、21.32％），且全省有80人取得临床药师规范化培训证；三级、二级、一级医院药学人员工资待遇均以2000～2999元/月最多（27.72％、41.80％、55.90％）。结论：云南省医疗卫生机构药学人员整体配备不足，高学历、高职称人员和临床药师人才紧缺，且收入待遇不高，尤其在基层医疗卫生机构这一状况更加明显。药师立法应充分考虑这一情况，在准入资格、职责、地位、权益方面给予明确和保障，并设立药学技术服务性收费。

OBJECTIVE:To provide data and reference for pharmacist legislation. METHODS:Questionnaire survey was designedinvestigate and analyze the staffing situation,education level,professional composition,age composition,professional titlescomposition,continuing education and wage of pharmacists who worked in medical and health institutions from 16 states(cities)in Yunnan province,and suggestions were put forward for relevant legislation. RESULTS:Totally 10 questionnaires were receivedfrom provincial medical and health institutions,and 16 from state(city)Health and Family Planning Commission,with effectiverecovery of 100%;data covered 1 561 medical and health institutions,involving 7 409 pharmacists. The numbers of pharmacy personnel/hospital beds in tertiary hospitals,secondary hospitals and class-1 hospitals were 1 ∶ 15.49,1 ∶ 17.50,1 ∶ 20.68,numbers ofpharmacy personnel/health professional and technical personnel in hospital accounted for 5.62% ,6.18% ,5.30% ,respectively;most pharmacists in tertiary hospitals were mainly undergraduate degree(35.21%),doctor degree accounted for 0.15%,the highestratio of education was junior college degree in secondary hospitals(41.60%)and class-1 hospitals(57.51%);most pharmacistsgraduated in pharmacy in tertiary hospitals(94.14%),70.22% in secondary hospitals and only 10.50% in class-1 hospitals;pharmacypersonnel mainly held the pharmacist professional titles in tertiary,secondary and class-1 hospitals(33.83%,37.89% and63.55%),senior professional titles accounted for 5.88%,2.71% and 0.21%,respectively;only a few have learning experienceand almost less than 6 months(9.17%,5.84% and 21.32%),and 80 pharmacists were certificated as clinical pharmacists in thewhole province;generally,all wage was concentrated in 2 000-2 999 per month(27.72%,41.80% and 55.90%,respectively).CONCLUSIONS:Shortage of hospital pharmacists and lack of senior personnel are the main problems in Yunnan province,andwage is not high,especially in primary hospital,this situation is more obvious. The current situation of pharmacists in the hospitalshould be more taken into consideration during the legislative process in aspects of clearing and guaranteeing access qualifications,responsibilities,status,rights and interests,and pharmaceutical technology and service charges should be established.