摘要
目的促进临床合理使用中药饮片。方法按医院所属地域及等级,对四川省医院中药饮片处方审核药师进行网上问卷调查,了解四川省不同性质、不同等级医院中药饮片处方审核的现状。结果共收回174份问卷,其中有效问卷157份,有效回收率为90.23%。药师学历以大学本科及以下为主,药学职称以主管药师与主管中药师为主,药师从业时间较长。中医院、中西医结合医院设立中药饮片超剂量用药相关规定的比例高于平均水平(约为75%),专科医院、中医院、中西医结合医院开展中药饮片处方点评情况均优于综合性医院,且不同类型医院间均有显著差异(P<0.05);不同等级医院在中药饮片处方审核方式、审核药师专业及是否开展处方点评三方面有显著差异(P<0.05);药师对于信息化辅助中药饮片审方的需求以综合性医院最高(43.00%),中西医结合医院最低(10.00%)。中药饮片处方审核岗位有资质人员轮班率以专科医院最高(66.67%),中西医结合医院最低(45.45%);中药饮片处方审核药师为中药专业的比例以专科医院最高(80.00%),中西医结合医院最低(72.73%)。中药饮片处方审核方法中,传统人工审核采用率以专科医院最高(80.00%),中医院最低(40.74%),信息系统审核仅综合性医院(2.63%)开展;人工+信息系统审核采用率以中医院最高(59.26%),专科医院最低(20.00%)。结论四川省大部分医院开展中药饮片处方审核工作,但缺乏统一标准,不同区域、性质、等级医院的审核尺度和水平均存在较大差异,且中药饮片处方的审核多数停留在传统人工审方阶段,存在效率低、相关配备滞后、干预成功率低和实效性差等问题。建议建立统一的审方标准、制度及流程,加强信息化建设,加大培训力度,提升中药师专业技术水平及能力。
Objective To promote the clinical rational use of traditional Chinese medicine(TCM)decoction pieces.Methods According to the region and the level of hospitals,an online questionnaire survey was conducted among pharmacists who reviewed the TCM decoc-tion pieces prescriptions in hospitals in Sichuan Province to understand the prescription review status of TCM decoction pieces in hospi-tals with different types and levels in Sichuan Province.Results A total of 174 questionnaires were collected,of which 157 were effec-tive,with an effective rate of 90.23%.The education background of pharmacists was mainly bachelor degree or below,the professional titles of pharmacists were mainly pharmacist-in-charge and Chinese pharmacist-in-charge,and the working years of pharmacists were long.The proportion of establishing regulations on overdose administration of TCM in TCM hospitals and integrated traditional Chi-nese and Western medicine hospitals was higher than the average level(about 75%).The prescription review of TCM decoction pieces in specialized hospitals,TCM hospitals and integrated traditional Chinese and Western medicine hospitals were better than those in gen-eral hospitals,and there were significant differences among different types of hospitals(P<0.05).There were significant differences in the way of prescription review of TCM decoction pieces,the professional level of pharmacists and whether to carry out the prescription review among hospitals with different levels(P<0.05).The demand of pharmacists for information-based assistance in the prescription review of TCM decoction pieces was the highest in general hospitals(43.00%),and the lowest in integrated traditional Chinese and Western medicine hospitals(10.00%).The shift rate of qualified personnel in the review post of TCM decoction pieces was the highest in specialized hospitals(66.67%),and the lowest in integrated traditional Chinese and Western medicine hospitals(45.45%).The propor-tion of prescription-review pharmacists majoring in TCM was the highest in specialized hospitals(80.00%),and the lowest in integrat-ed traditional Chinese and Western medicine hospitals(72.73%).Among the prescription review methods for TCM decoction pieces,the adoption rate of the traditional manual prescription review was the highest in specialized hospitals(80.00%),the lowest in TCM hospi-tals(40.74%),and the information system audit was only carried out in general hospitals(2.63%).The adoption rate of manual and in-formation system audit was the highest in TCM hospitals(59.26%),and the lowest in specialized hospitals(20.00%).Conclusion Most hos-pitals in Sichuan Province have carried out the prescription review of TCM decoction pieces,but there is a lack of unified stan-dards.There are great differences in the review range and level of hospitals with different regions,types and levels,and most of the pre-scription review of TCM decoction pieces still stays in the stage of traditional manual review,with problems such as low efficiency,lag-ging related equipment,low success rates of intervention and poor effectiveness.It is suggested to establish unified standards,systems and processes of prescription review,strengthen information construction,increase training efforts,and improve the professional technical level and ability of traditional Chinese pharmacists.
作者
石红霞
熊萱
宋海宁
谢凡
李莉
庹玉平
何淼泉
金朝辉
SHI Hongxia;XIONG Xuan;SONG Haining;XIE Fan;LI Li;TUO Yuping;HE Miaoquan;JIN Zhaohui(Department of Pharmacy,West China Hospital,Sichuan University,Chengdu,Sichuan,China 610041;Department of Pharmacy,Sichuan Academy of Medical Sciences·Sichuan Provincial People's Hospital,Chengdu,Sichuan,China 610072;Department of Pharmacy,Chengdu Third People's Hospital,Chengdu,Sichuan,China 610014;Department of Pharmacy,Affiliated Hospital of Chengdu University of Traditional Chinese Medicine,Chengdu,Sichuan,China 610072;Department of Pharmacy,Chengdu Women and Children Hospital,Chengdu,Sichuan,China 610041;Department of Pharmacy,Affiliated Hospital of North Sichuan Medical College,Nanchong,Sichuan,China 637000;Department of Pharmacy,Sichuan Mental Health Center·Mianyang Third People's Hospital,Mianyang,Sichuan,China 621000)
出处
《中国药业》
CAS
2021年第23期11-15,共5页
China Pharmaceuticals
基金
中国药学会全国医药信息网2021年科普研究项目[CMEI2021KPYJ00905]。
关键词
中药饮片
处方审核
问卷调查
医院药学
四川省
TCM decoction pieces
prescription review
questionnaire survey
hospital pharmacy
Sichuan Province
