摘要
目的:通过调查分析了解我国基层医疗机构药学服务基本条件及相关概况,为相关政策制定提供参考。方法:以面对面访谈的形式调研,对全国各地基层医疗机构的诊疗服务、硬件水平、人员配置、药物配备等情况进行统计、分析。结果:99.1%的基层医疗机构承担常见病、多发病首诊职能;基层医疗机构设置科目最多的是预防保健科(72.8%);88.4%的基层医疗机构配备药品专用储存柜;医师以男性居多(60.7%),药师以女性居多(70.3%);75.9%的基层医疗机构只配备基本药物;86.2%的医师和85.7%的药师期望增加人员待遇;40.4%的慢性病患者希望增加医保报销药品种类,28.7%的使用抗生素患者希望基层医疗机构提供更多的用药指导。结论:我国基层医疗机构硬件水平、人员配置、软件设备等方面亟待改善,社会各界应给予重视,政策制定应向提供经费和提升人员素质等方面倾斜。
OBJECTIVE To acquire information of basic conditions and relevant profiles of pharmaceutical care practice in primary healthcare institutions in China through an investigation,and based on which provide a reference for the formulation of relevant policies.METHODS A face-to-face interview survey was conducted to collect the data on medical service provision,hardware &facility equipment,staffing of healthcare provider and pharmaceutical supply of primary healthcare institutions throughout the country.RESULTS 99.1% of primary healthcare institutions undertook the functions of first-diagnosis of the first-come-first-hand diseases and frequently-occurred diseases ; the most frequently established department in the primary healthcare institutions was preventive healthcare departments(72.8% ); 88.4% of the institutions were equipped with medicine-specific storage cabinets ; physicians were mostly male(60.7% ), pharmacists were mostly female(70.3% ); 75.9% of the institutions were only equipped with essential medicines ; 86.2% of the physicians and 85.7% of the pharmacists expected improvements of their working conditions and wages,40.4%of patients with chronic diseases expected an expanded medical in-surance reimbursement list of pharmaceuticals,28.7%of patients receiving antibiotics expected that primary healthcare institutions could provide more patient education on medication.CONCLUSION The staffing,hardware and software of primary healthcare institutions related to pharmaceutical care need to be improved urgently.The society should attach importance to this condition,and policy formulation should emphasize the financial subsidies and the quality of personnel.
作者
陈亮江
任思瑜
任溢男
张馨元
张心悦
席晓宇
CHEN Liang-jiang;REN Si-yu;REN Yi-nan;ZHANG Xin-yuan;ZHANG Xin-yue;XI Xiao-yu(Research Center of National Drug Policy & Ecosystem,China Pharmaceutical University,Jiangsu Nanjing 211198, China)
出处
《中国医院药学杂志》
CAS
北大核心
2018年第24期2501-2507,共7页
Chinese Journal of Hospital Pharmacy
基金
国家级大学生创业创新训练计划项目(编号:201810316073G)
关键词
基层医疗机构
药学服务
基本条件
primary healthcare institutions
pharmaceutical care
basic condition
