233例药物咨询问题分析

目的：了解本院药物咨询工作情况,提高药学服务质量。方法：收集本院从2009年1月-2011年6月药剂科用药咨询记录,从中随机抽取233份进行统计分析。结果：女性咨询量较男性更多,咨询年龄主要集中在40岁以上。在咨询类别中,抗感染药物咨询例数最多,占21．89％,其次是消化系统用药和心脑血管系统用药,分别占11．59％和9．44％。在咨询内容方面,以药物不良反应及注意事项最多,占16．74％,其次是药品的用法用量,占15．88％;药品作用用途占15．02％。结论：开展药物咨询工作,有利于提高患者用药依从性,保证患者用药安全,提高药学服务质量。     

洛阳正骨医院门诊患者药物咨询情况分析

目的开展面向门诊患者的药物咨询，便于药师了解患者的用药需求和收集用药信息，促进医院药学服务的全面开展。方法选取我院2007年1～3月280位记录完整的门诊患者咨询记录进行比较分析。结果用药咨询237例，占咨询总人数的84．6％，其中用法用量和不良反应最多，分别占咨询总人数的49．6％和17．3％。结论面向患者的药物咨询是开展全面临床药学服务的第一步，也是患者急需的服务。     

宁波市镇海区848例艾滋病自愿咨询检测结果分析

目的分析镇海区艾滋病自愿咨询检测的人群类型、分布情况以及求询动机。方法面对面开展咨询，对每位咨询者填写《咨询个案登记表》，并免费检测HIV抗体。结果848例求询者中以女性为主，男女比例为42．28：100，年龄以20～40岁的中青年为主，占80．90％；求询原因主要以自已要求检测为主，占55．07％；求询类别以异性接触为主，占72．29％。求询者中未发现HIV阳性病例。结论对高危人群和外来人员的艾滋病自愿咨询检测是VCT工作的重要目标人群，加大VCT的宣传是今后工作的重点。     

2016年度某医院门诊药房药物咨询情况调查分析

目的分析门诊药房药物咨询情况,为临床安全合理用药提供依据。方法收集2016年1—12月门诊药房1 972份药物咨询完整记录,采用SPSS21.0统计学软件对咨询者基本情况、咨询方式、咨询药物种类以及药物咨询内容进行描述性统计分析。结果咨询者中女性偏多(60.14%),40岁以上中老年人占73.89%,患者或家属占87.37%。咨询方式以窗口咨询为主,占95.89%。咨询药物种类中,心血管系统药物最多(22.92%),其次为消化系统药物(14.60%)、神经系统药物(10.19%)及免疫功能药物(10.04%)。药物咨询内容以药品名称和价格(33.87%)、用法用量(31.09%)为主,其次为不良反应(10.85%)。结论在门诊药房提供药物咨询服务能够帮助患者或家属了解药物相关知识和注意事项,有利于安全合理用药。     

广东省艾滋病面对面咨询情况分析

目的 了解艾滋病面对面咨询者的人群特征和高危行为,为今后更好地开展艾滋病防治工作提供参考。方法 收集广东省艾滋病防治研究所艾滋病咨询室2001年8月至2∞B年8月的咨询记录,并进行统计分析。结果 两年来共接待咨询者75人次。求询者主要为来自珠江三角洲的中青年,大专及以上学历者占51．5％,18．7％为艾滋病感染者及其家属(或性伴)。咨询者中性高危行为发生率为75％,其中嫖娼者占69％。咨询内容重点集中在HIV传播途径、窗口期、潜伏期、临床症状、预防、艾滋病的预后、治疗和相关法律(歧视、人权)等。结论 加强全省艾滋病宣传力度,并建立全省艾滋病咨询系统。     

开展用药咨询工作提高药学服务质量

对大连市第二人民医院开展的用药咨询工作进行回顾性分析,从咨询者的科室分布、咨询内容、咨询药物类型、药师解答情况四方面进行分析后得出:临床医护人员向药师咨询用药存在广泛性;抗感染药物、心脑血管系统药物、消化系统药物咨询较多;大部分问题药师可以迅速并准确地给出答案。因此开展用药咨询工作是提高药学服务质量,促进合理用药及药师职能转变的有效途径。     

尘肺患者用药咨询的调查分析

目的加强对尘肺患者的用药咨询和用药指导,保证病人用药的安全、合理、有效、经济。方法对该中心2006～2008年用药咨询记录资料进行分类、统计。结果咨询者136人,咨询内容中要求推荐用药最多,占71.32%;咨询药品类别首位是心血管系统用药,占83.09%;尘肺病人服药不依从性占12.50%,老年病人的不依从现象最高。结论对尘肺病人开展用药咨询服务,指导患者安全合理有效地使用药品,以提高疗效及生活质量。     

某皮肤专科门诊用药咨询情况分析

目的 通过开展专科门诊用药咨询服务,探讨药师在专科门诊治疗过程中发挥的作用,促进临床合理用药。方法 依据《医疗机构药学服务规范》,采集我单位门诊2019年7—12月间专科门诊用药咨询记录及反馈资料,按照咨询人员基本情况、咨询药物种类、咨询问题及回答结果归类总结,调查咨询满意度,提供个体化的药学服务,并进行临床用药合理性指导分析。结果 共收集门诊有效用药咨询677例,其中男33.38%(226例)、女66.62%(451例)。年龄26～78岁,平均(50.49±13.64),40岁以上咨询人数占83.16%(563例)。患者及患者家属咨询人次占较大比例,占90.55%(613例)。咨询药物种类以抗组胺药比例最多,占34.71%(235)。患者及家属、公众咨询内容以用法用量比例最高,分别占37.22%(252例)、1.92%(13例),医护人员咨询内容主要为药物相互作用及特殊人群用药,分别占2.36%(16例)、1.18%(8例)。患者及家属、公众、医护人员咨询满意度分别为99.67%、92.11%、100%(χ2=28.16,P=0.005)。结论 建立专科门诊用药咨询服务能充分体现药师专业价值,构建专科药学服务体系,提高用药合理性。     

516例门诊用药咨询情况分析

目的分析笔者所在医院门诊患者用药咨询情况。方法对笔者所在医院2007年516例门诊患者用药咨询资料进行分类、统计。结果用药咨询人数最多是老人和儿童；用药咨询内容最多的是药物的用法用量；咨询药物类别最多的是抗菌药物。结论开展药物咨询，可使患者合理、安全用药，提高药学服务质量。     

某院门诊药物咨询平台建立的研究分析

目的 对某院门诊药物咨询平台的建立进行分析及总结,进一步提高药学服务质量.方法 通过收集该院门诊2011年1月～2012年4月1000例药物咨询记录情况进行回顾性分析.结果 在药物咨询类别方面,抗感染药咨询最多,占27.3％,其次是心血管及消化系统类药物,分别占19.8％和16.9％.在药物咨询内容方面,咨询用法用量占最多31.5％,其次是不良反应及相互作用,分别占20.7％和12.6％.结论 药物咨询是药学服务的重要内容之一,药学咨询是提高药师药学服务水平,促进合理用药的重要环节.     

对开展门诊药学咨询的几点思考

目的通过对某医院门诊西药房开展药学咨询服务的工作情况进行总结和分析,探讨如何提高药学服务质量,促进合理用药。方法抽取某医院2010年1月～2011年12月门诊西药房760例药学咨询记录,从咨询服务的对象、咨询的方式、咨询的药物及内容进行统计、分析。结果药物咨询中最多的为询问、求购药品,占33.03%,其次是药物的用法用量、药理作用、不良反应等。咨询药物类别最多的是心血管系统药物,其次是抗菌药、神经系统药、消化系统药等;其中患者及其家属最需要药学咨询,占咨询人数的69.74%。结论开展药学咨询工作对患者能够安全、有效、合理使用药物,减少药物不良反应,对提升窗口服务质量,提高药学人员综合素质有重要的意义。     

Can GPs working in secure environments in England re-license using the Royal College of General Practitioners revalidation proposals?

Background

Symptom characteristics are strong drivers of care seeking. Despite this, incongruous consultation behaviour occurs and has implications for both individuals and health-care services. The aim of this study was to determine how frequently incongruous consultation behaviour occurs, to examine whether it is more common for certain types of symptoms and to identify the factors associated with being an incongruous consulter.

Methods

An age and sex stratified random sample of 8,000 adults was drawn from twenty UK general practices. A postal questionnaire was used to collect detailed information on the presence and characteristics of 25 physical and psychological symptoms, actions taken to manage the symptoms, general health, attitudes to symptom management and demographic/socio-economic details. Two types of incongruous consultation behaviour were examined: i) consultation with a GP for symptoms self-rated as low impact and ii) no consultation with a GP for symptoms self-rated as high impact.

Results

A fifth of all symptoms experienced resulted in consultation behaviour which was incongruous based on respondents' own rating of the symptoms' impact. Low impact consultations were not common, although symptoms indicative of a potentially serious condition resulted in a higher proportion of low impact consultations. High impact non-consultations were more common, although there was no clear pattern in the type of associated symptoms. Just under half of those experiencing symptoms in the previous two weeks were categorised as an incongruous consulter (low impact consulter: 8.3%, high impact non-consulter: 37.1%). Employment status, having a chronic condition, poor health, and feeling that reassurance or advice from a health professional is important were associated with being a low impact consulter. Younger age, employment status, being an ex-smoker, poor health and feeling that not wasting the GPs time is important were associated with being a high impact non-consulter.

Conclusions

This is one of the first studies to examine incongruous consultation behaviour for a range of symptoms. High impact non-consultations were common and may have important health implications, particularly for symptoms indicative of serious disease. More research is now needed to examine incongruous consultation behaviour and its impact on both the public's health and health service use.     

加强门诊用药管理

为促进患者安全、有效、经济、方便地合理使用药物,避免发生严重不良反应,甚至引起致残、致死的药源性事故。必须通过加强对门急诊处方的干预、药师在发药过程中详细地向患者交待用药事项、开展药学咨询服务来促进合理用药。     

The impact of matching the patient's vocabulary: a randomized control trial

BACKGROUND: Research in general practice emphasizes the importance of matched models, beliefs and vocabulary in the consultation. OBJECTIVE: The present study aimed to explore the impact of matched and unmatched vocabulary on patient satisfaction with consultations. METHODS: The study took place in one inner city general practice. Patients (n=62) were randomized to either matched or unmatched vocabulary consultations when consulting for problems relating to sexual or bodily function or anatomy. Matched consultations required the doctor to use the same vocabulary as the patient. Unmatched consultations required the doctor to use medical vocabulary. Completed questionnaires were received from 60 patients. The main outcome measure was patient satisfaction (using the Medical Interview Satisfaction Scale). This assesses total satisfaction and has four subscales: distress relief; communication comfort; rapport; and compliance intent. Doctor satisfaction with the consultation was also assessed. RESULTS: The results showed that the two groups were comparable for demographic variables and doctor satisfaction. However, patients in the matched consultation group had significantly higher total satisfaction scores and higher ratings of rapport, communication comfort, distress relief and compliance intent than those in the unmatched group. CONCLUSION: The results indicate that a doctor's choice of vocabulary affects patient satisfaction immediately after a general practice consultation and that using the same vocabulary as the patient can improve patient outcomes.     

国境口岸传染病疫情预警监测指标体系构建研究

构建有效的传染病危机管理体系是检验检疫部门在国境口岸预防和控制传染病疫情的关键措施,其中预警指标体系是其重要组成部分。本文采用文献评阅、现有资料整理分析、现场调查等方法构建指标体系框架,使用德尔菲法与专家会议法相结合构建指标体系的组成,使用小组讨论和个别专家咨询法对指标体系进一步修正和完善。通过2轮咨询,共筛选出36项指标,以探讨建立科学合理、适合国境口岸传染病危机管理的预警指标体系。     

浅谈合理用药的四大要素

合理用药是目前世界各国卫生部门高度重视的问题,强调合理用药的重要性和迫切性,已成为医药界刻不容缓的共同任务。安全、有效、经济、适当的合理用药,可提高治疗效果,降低治疗风险,节约用药成本,改善病人的生存质量。本文从中西医用药层面,讨论合理用药的问题。     

宁夏农村三级医疗机构门诊处方合理用药情况分析

目的 为加强门诊处方合理用药的科学管理和政策建议提供参考.方法 对宁夏3县45家基层医疗机构进行处方抽样,用卡方检验分析4 972张门诊处方合理用药情况.结果 宁夏农村三级医疗机构门诊处方合理用药水平低,且不同医疗机构门诊处方合理用药差异性大.平均单张处方用药品种数3.10种、抗菌药物处方比例53.60%、注射处方比例21.30%、激素处方比例2.20%、处方基本药物比例93.50%、平均处方费用27.60元.结论 宁夏农村三级医疗机构门诊处方合理用药情况比较差,可通过分类管理、完善合理用药评价机制、加大培训力度、实施处方预算管理、充分发挥临床药师的职能和监督医师门诊处方等措施,进一步提高合理用药的水平.     

中国-瑞典抗菌药物监管体制比较分析及启示

对中国和瑞典两国抗菌药物监管体制进行比较,发现中国抗菌药物监管存在以下问题：监管主体不统一,监管机制不完善,抗菌药物临床应用及耐药监测体系有待完善,缺乏激励机制,宣传、教育与培训不足等.总结瑞典经验,提出我国应建立促进合理用药的专业机构,对药店实行统一管理,建立抗菌药物合理应用激励机制,加强宣传、教育和培训,实施动态监管和反馈等.     

An international consultation: the development of family medicine in Vietnam

An effective international consultation on health system reform can be approached using the five-step process of establishing goals, conducting a needs assessment, defining objectives, developing methods, and designing evaluation strategies. This structure provided guidance to a consultation we provided to the Ministry of Health, Socialist Republic of Vietnam (SRV) to review its current health care delivery system. The consultation examined all levels of health care delivery and medical education. The SRV has an extensive, but poorly staffed, "commune health center" system. There is a widespread perception that the quality of medical care is low in these health centers. People leave their communities to obtain health care elsewhere at more-specialized levels and more-expensive sites. Our consultation included an analysis of the potential effect of creating a primary health care delivery system based on the model of family medicine. In addition to consulting, part of the time spent in Vietnam was used to advocate for changes in the system to allow for movement toward a primary health care delivery system. The consultation culminated in the creation of the specialty of family medicine and in the establishment of the medical education system to train family physicians.