摘要
目的建立符合我国国情的网格化管理模式,促进区域内基层医疗机构药学服务的高质量发展。方法依托网格化管理模式,通过对基层医疗机构进行技术扶持、能力提升、人才培养的方式,促进区域内药学服务高质量发展。结果与2017年比较,2021年四川省彭州市基层医疗机构处方合理率由82.10%升至95.68%,医嘱合理率由81.27%升至96.78%;抗菌药物、糖皮质激素、中成药、质子泵抑制剂使用合理率分别由74.54%,85.28%,72.23%,80.23%升至93.68%,96.68%,93.68%,90.68%;静脉输液率由96.80%降至90.75%;住院患者抗菌药物使用前微生物送检率由31.00%升至61.70%;药师大学本科及以上学历占比由17.07%升至61.08%,中级及以上职称占比由11.71%升至32.93%,每年外出接受3次及以上培训次数的药师占比由13.66%升至59.50%。结论网格化管理模式可有效提高县域内基层医疗机构的合理用药水平,促进药学服务的高质量发展。
Objective To establish a grid management model suitable for China's national conditions,and to promote the high-quality development of pharmaceutical care in county-level grassroots medical institutions.Methods Based on the grid management model,the high-quality development of pharmaceutical care in the region was promoted through technical support,capacity improvement,and talent cultivation for grassroots medical institutions.Results Compared with the data in 2017,the rationality rate of prescriptions in the grassroots medical institutions in Pengzhou,Sichuan Province in 2021 increased from 82.10%to 95.68%,the rationality rate of medical orders increased from 81.27%to 96.78%;the rational use rate of antibiotics,glucocorticoids,Chinese patent medicines and proton pump inhibitors increased from 74.54%,85.28%,72.23%,and 80.23%to 93.68%,96.68%,93.68%,and 90.68%,respectively;the intravenous infusion rate decreased from 96.80%to 90.75%;the microbial detection rate of inpatients treated with antibiotics increased from 31.00%to 61.70%;the proportion of pharmacists with a bachelor's degree or above increased from 17.07%to 61.08%,and the proportion of intermediate and above professional titles increased from 11.71%to 32.93%;the proportion of pharmacists who go out for three or more training times per year increased from 13.66%to 59.50%.Conclusion Grid management model can effectively improve the rational drug use of country-level grassroots medical institutions and promote the high-quality development of pharmaceutical care.
作者
董长江
刘艳鑫
刘宇
邹剑
DONG Changjiang;LIU Yanxin;LIU Yu;ZOU Jian(Pengzhou People′s Hospital,Chengdu,Sichuan,China 611930)
出处
《中国药业》
CAS
2023年第21期21-25,共5页
China Pharmaceuticals
基金
四川医院管理和发展研究中心2022年度科研项目[SCYG2022-03]。
关键词
网格化管理
基层医疗机构
药学服务
合理用药
grid management
grassroots medical institutions
pharmaceutical care
rational drug use PharmaceuticalAdministration
