摘要
目的:了解全国医院药事管理工作的现状,为提高医院用药质量和制订安全措施提供依据。方法:在国家卫生和计划生育委员会的组织下,由国家医院药事管理质控中心起草调研指标,采用网络调查的形式,对各省(市、区)卫生和计划生育委员会遴选的各辖区二级以上综合医院填报的有关2014年全国医院药学人员配置和药品使用管理相关指标的数据进行筛选、确认和统计分析。结果:在二、三级综合医院中,药学技术人员占比分别为5.2%和4.4%,每百张病床临床药师数分别为0.42人和0.44人,门诊调剂药学人员日人均调剂处方数分别为119张和173张,临床药师重点患者药学监护率分别为1.8%和6.9%,门诊患者静脉输液使用率分别为12.8%和10.1%,住院患者静脉输液使用率分别为93.1%和90.4%,住院患者抗菌药物静脉输液使用率分别为51.8%和44.3%,中药静脉输液使用率分别为34.7%和29.0%。结论:我国药事质量管理存在的问题包括药学技术人员缺乏、工作负荷大、临床药师人员不足、药学服务模式不够健全、静脉输液的选择和使用不够规范等。针对这些问题,建议加大健康教育的宣传力度和静脉药物的管理力度,配备足够的药学技术人员和临床药师,逐步健全和完善全国医院药事管理质量评价体系等。
OBJECTIVE：To investigate the situation of hospital pharmaceutical administration in China,and provide basis for developing measures in improving the quality and safety of medication in hospitals. METHODS：According to the organization of National Health and Family Planning Commission,National Quality Control Center of Pharmaceutical Administration drafted the research indicators,and adopted internet survey to screen,confirm and statistically analyze the data about pharmacy staffing and drug use management of hospitals in 2014 that was completed and reported as requested by the secondary general hospitals and above in each area selected by Health and Family Planning Commission in provinces（cities,districts）. RESULTS：The rates of pharmacy technicians in secondary and tertiary general hospitals were 5.2% and 4.4%,the numbers of clinical pharmacists per hundred-bed were 0.42 and 0.44 person,the numbers of dispensing prescription per person in a day were 119 and 173 in pharmacist in outpatient;the monitoring rates for key patients were 1.8% and 6.9%,the rates of intravenous infusion in outpatients were 12.8% and 10.1%,and inpatient were 93.1% and 90.4%;the rates of intravenous infusion of antibiotics in inpatients were 51.8% and 44.3%,and the rates of intravenous infusion of TCM were 34.7% and 29.0%,respectively. CONCLUSIONS：The problems existing in pharmaceutical quality administration in China include lacking of pharmacy technicians,large workload,lacking of clinical pharmacists,imperfect pharmaceutical care model,non-standardized choice and use of intravenous infusion,etc. For these problems,it is suggested to increase the propaganda of health education and management efforts of intravenous drugs,equipped with adequate pharmacy technicians and clinical pharmacists,continuously improve the quality evaluation system of hospital pharmaceutical administration in China.
出处
《中国药房》
CAS
北大核心
2017年第31期4325-4329,共5页
China Pharmacy
基金
国家自然科学基金青年基金资助项目(No.81601033)
北京市自然科学基金青年基金资助项目(No.7174342)
关键词
药事管理
质量控制
药学人员
药品使用
管理
Pharmaceutical administration
Quality control
Pharmacy technicians
Drug use
Management
