江浙两地案例区县医疗机构抗菌药物使用管理现状研究

Current Status of Antimicrobial Use Management in Medical Institution in Two Study Sites in Jiangsu and Zhejiang

目的了解江浙两地案例区县医疗机构抗菌药物使用管理现状,探究现行抗菌药物使用管理政策在实施过程中的进展和不足。方法深入访谈案例区县有关人员,以主题框架法为指导进行分析。结果案例地区卫生行政部门高度重视抗菌药物使用管理有关工作。两地公立医院抗菌药物管理体系相对完善,能较为严格开展用药管理,药品采购流程较为规范,定期开展人员培训,持续提高院内抗菌药物管理设施水平。但民办医疗机构和基层医疗机构在抗菌药物使用管理方面仍存缺陷,且在抗菌药物管理中,各机构普遍缺乏临床药师和高效的管理信息系统。结论案例地区医疗机构抗菌药物使用管理政策实施效果总体较好,但仍有提升空间。建议卫生行政部门强化对民办医疗机构的指导与监督;及时扩充各机构临床药师人员队伍;加强各机构信息系统建设,为最大限度完善医疗机构抗菌药物“全流程、全方位”管理提供保障。

Objective To understand the management policy and implementation status of antibiotics in the case areas of Jiangsu and Zhejiang province,explore the advances and deficiencies of implementation of these management policies.Methods We employed In-depth interviews with relevant personnel in the case areas,and the analysis was conducted via thematic framework.Results The health administrative departments in the case area attached great importance to the management of antibiotics use.The public hospitals in the two regions have relatively sound antimicrobial drug management systems,more strict management,more standardized drug procurement processes,regular staff training,and continuous improvement of in-hospital antimicrobial drug management facilities.However,there are still some deficiencies in the management of antibiotics use in private medical institutions and primary medical institutions.At the same time,institutions generally lack professional pharmacists and efficient information systems.Conclusion The implementation of these management policies generally have good outcome,but there is still space for improvement.It is suggested that the health administrative departments should build a"full-process,all-round"management system,pay more attention to private and primary medical institutions,strengthen guidance and supervision;focus on training professional clinical pharmacists;strengthen the information systems.