江苏省县级医院药学服务现状与提升路径

Status and Improvements of Pharmaceutical Care in County-level Hospitals in Jiangsu Province

为了解江苏省县级医院药学服务开展的基本情况,促进药学服务高质量发展,通过线上发放调查表并选取部分医院进行实地访谈,对江苏省县级医院药学服务开展的形式、内容等情况进行调研与统计分析。研究发现,江苏省县级医院基础药学服务中的处方审核、药品调剂、处方点评、用药咨询和健康教育宣传5项服务开展情况较好,近乎所有医院全部开展或符合国家相关标准;药师会诊和药学监护两项服务二级医院开展率与开展情况与三级医院有较大差距;扩展药学服务中用药重整(36.1%)、用药随访(44.4%)、个性化给药(58.3%)以及药学门诊(30.6%)4项开展相对较好,居家药学服务开展率(16.7%)较低。江苏省县级医院基础药学服务整体开展情况较好,扩展药学服务仍在探索发展中,在药师工作重心向临床转移以及药学人员队伍、相关制度与硬件配备等方面仍有待加强。

In order to investigate the current situation of pharmaceutical care practice in county-level hospitals in Jiangsu Province,and promote high-quality development of pharmaceutical care,through online distribution of questionnaires and face-to-face interviews for selected hospitals,the form and content of pharmaceutical care in county-level hospitals in Jiangsu Province were investigated and analyzed statistically.It is found that the five items of basic pharmaceutical care in county-level hospitals in Jiangsu Province,including prescription review,drug dispensation,prescription comment,medication consultation,and health education,were well developed,and almost all hospitals had implemented them or complied with relevant national standards;as for clinical pharmacist consultation and pharmacological monitoring,there was a big gap between secondary hospital and tertiary hospital.Among extended pharmaceutical care items,the four items including medication reconciliation(36.1%),medication follow-up(44.4%),personalized medicine(58.3%)and pharmacist-managed clinic(30.6%),were better developed than home pharmaceutical care(16.7%),which had the lowest development rate.The overall development of basic pharmaceutical care in county-level hospitals in Jiangsu Province is relatively better,while extended pharmaceutical care is still being explored and developed.It remains to be enhanced in terms of shifting the focus of pharmacists to clinical work,as well as the pharmacy staff,related systems and hardware equipment.