摘要
目的 了解深圳市各级医疗机构药学门诊开展现状、经验教训及困难障碍等,以及患者对药学门诊的需求的知晓程度,为促进深圳市医疗机构药学门诊发展及制定相关政策提供科学依据.方法 通过大样本调研问卷了解深圳市各级医疗机构药学门诊开展情况、患者对药学门诊的认知及需求情况,对结果进行描述性统计与影响因素分析;同时根据关键知情人访谈总结药学门诊开展过程中的经验和教训.结果 关键知情人访谈结果显示,医疗机构需国家政策和院领导支持、专业人才、信息系统、服务规范和独立工作空间;主要瓶颈包括收费、药师资质、职责区分、领导层重视度不足、患者信任度低、宣传不足;药师应以患者为中心,参与用药方案制定和监测,但实际工作中多限于用药评估和教育,受处方权和工作流程限制.调研结果显示,医疗机构药学门诊开设率为19.44％.仅26.55％的患者了解药学门诊,81.78％的患者愿意为药学门诊支付一定的费用.结论 深圳市药学门诊服务开展时间较短,开设频次较低,存在缺乏指导规范、激励机制不足和技术人员紧缺等问题;患者对药学服务需求较大,但对药师门诊的作用和服务范围了解不深,药师作用未得到充分发挥.
Abstract
AIM To investigate the status quo,experience and lessons,difficulties and obstacles of pharmacist-managed clinics at various levels of medical institutions in Shenzhen,and investigate the demand for pharmacist-managed clinics and knowledge of pharmacist-managed clinics,so as to provide a scientific basis for promoting the development of pharmacist-managed clinics in medical institutions and formulating relevant policies in Shenzhen.METHODS A large sample questionnaire was used to understand the development situation of pharmacist-managed clinics at various levels of medical institutions in Shenzhen,the cognition and demand of patients for pharmacist-managed clinics.The descriptive statistical analysis and analysis of influencing factors were carried out on the results.Addionally,the experience and lessons in the development of pharmacist-managed clinics were summarized according to key informant interviews.RESULTS Results of key informant interview showed that medical institutions need support from national policies and hospital leaders,high-quality pharmaceutical professionals,information systems,service norms and independent workspace.The main bottlenecks included charge,pharmacist qualification,duty division of physicians and pharmacists,lack of attention from the leadership,low trust of patients,and insufficient publicity.Pharmacists should be patient-centered and participate in formulating and monitoring drug use plans.However,due to the limitation of prescribing rights and working procedures,the actual work content was mostly drug evaluation and education.Results of medical institutions survey showed that the proportion of pharmacist-managed clinics was 19.44％.Results of patient survey showed that only 26.55％of patients familiar with pharmacist-managed clinics,and 81.78％of patients were willing to pay for the pharmacist-managed clinics.CONCLUSION With a shorter history of pharmacist-managed clinic services and low frequency of opening,there are problems such as lack of guidance and norms,insufficient incentive mechanism and shortage of technical personnel.There is a great demand for pharmaceutical care among patients.Still,patients are unfamiliar with the role of pharmacists and the scope of pharmacist-managed clinic service,so the role of pharmacists and pharmacist-managed clinics has not been fully developed.
国家科技期刊平台
NSTL
万方数据