山东省社会药房慢性病管理现状调查研究

Investigation on the Current Situation of Chronic Disease Management in Community Pharmacy in Shandong Province

关键词:  山东  慢性病  社会药房  调查问卷

Key words:  Shandong  chronic disease  community pharmacy  questionnaire investigation

摘要:

目的 调研山东省内社会药房开展慢性病管理的现状,为提高管理水平提供参考。方法 选择山东省5个地市155个社会药房为研究对象,问卷调查慢性病管理的人员配备、服务项目和阻滞因素等;分地市选取1 155例慢性病患者为研究对象,调研患者对药房慢性病管理的认知、需求、参与和认可情况。结果 社会药房主要围绕高血压(90.5%)、糖尿病(87.5%)和慢阻肺(75.2%)等慢性病开展服务,管理项目主要有用药指导(90.3%)、健康教育(89%)和生化指标检测(85.8%),阻滞性因素是缺少专业管理人员(61.3%)、患者依从性差(52.9%)和对药房缺少信任(48.4%)。患者对慢性病的认知度(65.2%)低,参与药房管理的积极性低(56.5%);期望药房建立慢性病管理专区(57.7%),检测生化指标(56.2%),提供用药指导(50.8%);73.6%的患者信任药房的管理,满意度为86.7%。结论 慢性病管理在一定程度上满足了患者的疾病康复需求和健康管理需求,但仍面临多重挑战,社会药房需要利用好各类利好政策,从发展方向、发展路径和发展模式上大胆创新、不断探索。

Abstract:

OBJECTIVE To investigate the current situation of chronic disease management in community pharmacy in Shandong Province to provide reference for improving the management level of pharmacies. METHODS There were 155 community pharmacies in 5 cities of Shandong Province selected as the research objects, to investigate the staff, service items and blocking factors of chronic disease management in pharmacy through questionnaires. There were 1 155 patients with chronic diseases selected to investigate their cognition, needs, participation and recognition of chronic disease management in pharmacy. RESULTS The community pharmacy mainly provided services for hypertension(90.5%), diabetes(87.5%) and chronic obstructive pulmonary disease(75.2%). The service items mainly included medication guidance(90.3%), health education(89%) and biochemical indicators testing(85.8%). The blocking factors were lack of professional managers(61.3%), poor patient compliance(52.9%) and low trust(48.4%). Patients with chronic diseases had low awareness(65.2%) and participation(56.5%) of of chronic disease management. They expected the pharmacy to establish a special area for chronic disease management(57.7%), detect biochemical indicators(56.2%), and provide medication guidance(50.8%). Patients of 73.6% trust the management of the pharmacy, and the satisfaction rate was 86.7%. CONCLUSION Chronic disease management in community pharmacy have met the needs of patients for disease rehabilitation and health management, despite many challenges. Community pharmacy need to make good use of all kinds of favorable policies, innovate boldly and explore constantly from the development direction, development path and development mode.