57家医疗机构儿科临床药师发展情况调研

Survey on the Development of Pediatric Clinical Pharmacists in 57 Medical Institutions

目的:了解我国儿科临床药师发展现状,为儿科临床药师的管理、培养和发展提供参考。方法:采用问卷调查法,以福棠儿童医学发展研究中心临床药师组的儿科临床药师为调研对象,了解儿科临床药师的学历分布、专业背景、就业环境、工作内容和学术期望。结果:来自我国27个地区的57家医疗机构的225位儿科临床药师参与了调研。所调研儿科临床药师多来自三级医疗机构(99.55%),年龄分布以30~39岁为主(73.33%),职称主要为主管药师(64.44%),专业背景以药学(34.67%)、临床药学(30.22%)和药理学(16.00%)为主。药学查房、处方点评与处方分析、不良反应收集等工作均有开展。药学查房以与医生共同查房为主,每周总时长10h以内的占48.44%。56.00%的临床药师每月监护1~10例患儿,53.78%的临床药师每月可开展1~5次普通药学会诊,35.56%的临床药师每月参与1~5次多学科会诊,52.44%的临床药师每月回答1~10例药学咨询。结论:儿科临床药师团队构成合理,工作内容已覆盖临床药师要求的各个方面,但与临床融合程度还需继续加强。

Objective:To understand the current development situation of pediatric clinical pharmacists in China so as to provide reference for the management,training and development of pediatric clinical pharmacists.Methods:The pediatric clinical pharmacists from the clinical pharmacists group of Futang Research Center of Pediatric Development were interviewed using a questionnaire to understand their educational background,major,employment environment,job duties and academic expectation.Results:A total of 225 clinical pediatric pharmacists from 57 medical institutions across 27 regions participated in the survey.The pediatric clinical pharmacists interviewed mostly came from tertiary medical institutions(99.55%),were mainly between 30 and 39 years old(73.33%)and chief pharmacists(64.44%)in terms of the title,and primarily majored in pharmacy(34.67%),clinical pharmacy(30.22%)and pharmacology(16%).Job duties included pharmaceutical ward rounds,prescription comments and analysis,and collection of adverse reactions.Pharmaceutical ward rounds were mainly performed together with physicians and took less than 10 hours per week in 48.44%of pharmacists.Fifty-six percent of pharmacists monitored 1~10 children per month,53.78%carried out 1~5 general pharmacy consultations per month,41.33%participated in 1~5 multi-disciplinary consultations per month,and 52.44%responded to 1~10 pharmacy consultations per month.Conclusion:The pediatric clinical pharmacist team composition is reasonable and the job duties have covered all aspects required for clinical pharmacists,while the level of integration with clinic needs continuous strengthening.