江苏南通市9家医院临床药学发展现状调查

Investigation of the Development of Clinical Pharmacy in Nine Hospitals of Nantong Jiangsu

关键词:  南通  临床药学  临床药师  现状调查

Key words:  Nantong  clinical pharmacy  clinical pharmacists  current situation investigation

摘要:

目的 了解江苏南通市主要医院临床药学工作开展现状，为促进地区医疗卫生机构及国内发展中城市临床药学工作的开展提供参考。方法 采用电子邮件的方式，对南通市9家医院进行临床药学工作开展现状调查，并对有关数据进行分析。结果 76.47%的专职临床药师和20.00%的兼职临床药师经过正规培训取得相应资质；临床药师所进修专业方向排名前4位的分别为抗感染药物、心血管内科、抗肿瘤药物和呼吸内科方向；参与医师查房、医嘱和处方点评、专项点评、抗菌药物专项点评、书写药历、抗菌药物事后干预、药学信息服务、门诊药物咨询、出院带药教育、病区医务人员用药交流以及ADR监测的比例最高，均为100.00%，而参与院外会诊比例最低（为0）；基地医院各项工作开展比例、工作量以及科研成果普遍优于非基地医院。结论 南通市受访医院仍需壮大临床药师队伍，多途径提升药学服务能力，加强临床药师工作深度，提升科研创新实力，并进一步促进非基地医院临床药学发展。

Abstract:

OBJECTIVE To know the current situation of clinical pharmacy practice in main hospitals of Nantong in Jiangsu, and to provide reference for promoting its development in medical and health institutions in regions and domestic developing cities. METHODS A mailed questionnaire investigation was conducted among 9 hospitals in Nantong regarding the current situation of the clinical pharmacy practice, and the data was statistically analyzed. RESULTS 76.47% full-time clinical pharmacists and 20.00% part-time ones were trained to obtain clinical pharmacist qualifications. The top 4 clinical major field that clinical pharmacists studied in were anti-infective, cardiology, anti-tumor and respiratory drugs. The surveyed hospital had the highest proportion of clinical pharmacy related work, such as participation in daily physician rounds, doctor's advice and prescription review, special review, special review of antibiotics, drug record writing, antimicrobial intervention after the fact, pharmaceutical information service, outpatient drug consultation, medical education for discharge, medication experience sharing with ward medical staff and ADR monitoring, all being 100.00%. Clinical consultancy occupied the lowest proportion of clinical pharmacy work(0). The proportion, workload and scientific payoffs of clinical pharmacy work in training base hospitals was mostly higher than that in non-training base hospitals. CONCLUSION It is suggested to strengthen the construction of clinical pharmacist team in surveyed hospitals in Nantong, improve service capability by multiple ways, enhance the depth of clinical pharmacy related work, enhance scientific research and innovation capacity, and at the same time, further promote the development of clinical pharmacy in non-training base hospitals.