上海市部分医疗机构药房托管调研与可行性分析

目的:探讨上海地区医疗机构推行药房托管的可行性,为药品零差率改革、药剂科向临床药学转型做出有价值的探索。方法:通过实地调研上海市7家不同类型医院药剂科和1家著名药品流通企业,访谈相关负责人,并对医院药剂科工作人员进行现场非随机抽样问卷调查,使用统计学软件Statwing进行数据分析。结果:共回收得到93份有效问卷,尽管某医院药房托管改革成效显著,但大多数被调查者对医院药房托管持否定态度,认为医院药房托管目前对临床药学的发展弊大于利。结论:未来全面药品零差率和发展临床药学的形势下,药房托管值得探索和尝试,应在法律上明确药房托管中各方的权利和责任,规范流通市场,保障患者权益。

Investigation and Feasibility Analysis of Pharmacy Trusteeship in Some Shanghai Medical Institutions

ABSTRACT Objective: To explore the feasibility of pharmacy trusteeship in Shanghai medical institutions to provide useful information for the reform of medicine without added profit and pharmacy transition to clinical pharmacy. Methods: On site investigation of seven hospitals and one famous drug retail company in Shanghai was performed combined with the communication with relative personnel and non random sampling questionnaire survey on the staff of pharmacy. Statwing software was used in the statistical analysis of the data. Results: A total of 93 valid questionnaires in the study were taken back. Although one hospital has achieved great progress in pharmacy trusteeship, most of respondents had negative attitudes and the common thought was that pharmacy trusteeship did more harm than good to the development of clinical pharmacy at present.Conclusion:As a consequence of drug zero interest policy and clinical pharmacy development, pharmacy trusteeship should be explored and attempted. The duties and responsibilities of all parts in pharmacy trusteeship should be definite in law in order to standardize drug retail market and protect the interests of patient.