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中国儿科药学门诊开展现状调研与分析

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目的 调研中国儿科药学门诊的开展现状,为儿科药学门诊建设及提升提供参考.方法 以中国儿童专科医院、妇幼保健院/妇儿医院、设有儿科的综合医院为调查对象,通过问卷星平台发放调查问卷,采用SPSS26.0进行数据统计,分析儿科药学门诊开展基本情况,出诊药师资质,岗位培训情况及培训需求等.结果 收集有效问卷101份,共55家(54.5%)医院已开设儿科药学门诊,其中35家为药师独立门诊,大多数具备良好的医疗文书管理及患者管理流程.但70%左右医院未收取挂号费,一半以上医院日就诊量<5人次.85.5%的药学门诊由临床药师出诊,约半数为工作年限>10年的资深临床药师,仅3.6%的出诊药师有特定处方权.岗位培训调研结果显示,101家医院中,有36家医院药师有药学门诊培训经历,其中25家已开展儿科药学门诊.除药学专科知识外,>50%的药师对医患沟通及分析解决问题能力提升有强烈需求,30%~40%的需求集中在病史及用药史采集,心理疏导能力及药学门诊实践案例学习.结论 目前国内儿科药学门诊呈现蓬勃发展趋势,但存在收费率低,就诊量少,相关药师岗位培训不足等情况,儿科药学部门应积极探索适宜的药学门诊服务模式,并构建儿童专科培训体系以提升药学门诊药师的岗位胜任力.
Investigation and Analysis on the Current Situation of Pediatric Pharmacist-managed Clinic in China
OBJECTIVE To investigate the current situation of pediatric pharmacist-managed clinic in China,and to provide reference for pediatric pharmacist-managed clinic construction and improvement.METHODS Domestic Children's hospitals,Women's & Children's Hospital,and general hospitals with pediatric unit were selected as the survey objects,questionnaires were distributed through the Wenjuanxing Application,and SPSS 26.0 was used to describe the data.The development of pediatric pharmacist-managed clinic,the qualification of visiting pharmacists,the situation of post training and training needs were analyzed.RESULTS A total of 101 valid questionnaires were collected.Pediatric pharmacist-managed clinics had been set up in 55(54.5%)hospitals,of which 35 were independent pharmacists'clinics,and most had well medical document and patient management processes.However,about 70%of hospitals did not charge registration fees,and more than half of hospitals had fewer than 5 patient-visits per day.85.5%of the hospitals were visited by clinical pharmacists,and about half of them were senior clinical pharmacists with more than 10 years of working experience.But only 3.6%of visiting pharmacists had the right of specific prescription.In 101 hospitals relevant post training for pharmacists had been carried out in 36 hospitals,of which 25 hospitals had set up pharmacist-managed clinic.In addition to pharmaceutical expertise,more than 50%of pharmacists had a strong demand for the improvement of physician-patient communication and problem-solving ability,and 30%-40%of the demand was focused on the collection of medication history,psychological counseling ability,and case-based learning in the pharmacist-managed clinic.CONCLUSION At present,the domestic pediatric pharmacist-managed clinic shows a vigorous development trend,however,there are insufficient registration fees,visits,and post training.Appropriate service methods of pediatric pharmacist-managed clinic should be actively explored,and a pediatric specialized training system for should be well constructed to improve the competency.

pediatricpharmacist-managed clinicpost trainingcompetency

黄凌斐、高鹏、吴梦华、朱正怡、倪映华、杨巨飞、缪静

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浙江大学医学院附属儿童医院药剂科,国家儿童健康与疾病临床医学研究中心,杭州 310052

浙江大学临床药学研究中心,杭州 310058

儿科 药学门诊 岗位培训 胜任力

2023

中国现代应用药学
中国药学会

中国现代应用药学

CSTPCDCSCD北大核心
影响因子:0.877
ISSN:1007-7693
年,卷(期):2023.40(22)
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