重大突发性公共卫生事件下临床药学服务在贵州省医疗救治体系中的应用现状研究

目的:调查临床药学服务在贵州省医疗救治体系中的开展现状,为未来在重大突发性公共卫生事件中最大化发挥临床药学服务效能提供相关建议.方法:通过三甲医院药学部门负责人个人深入访谈及10家三甲医院的药师、医师和住院患者实地问卷调查,对贵州省临床药学服务的开展现状进行调研.结果:本次调查的药师主要以大专/本科学历、拥有初级职称的...

Application status of clinical pharmaceutical care in medical treatment system of Guizhou Province under major public health emergencies

OBJECTIVE To explore the current status of clinical pharmaceutical care in the medical treatment system of Guizhou Province and provide rationales for maximizing the effectiveness of clinical pharmaceutical care in major public health emergencies in the future.METHODS Through personal interviews with directors of pharmaceutical department and questionnaire survey of pharmacists, physicians and inpatients at 10 class 3A hospitals, the current status of clinical pharmaceutical care in Guizhou Province was reviewed.RESULTS Pharmacists in this survey were predominantly young females with junior college/undergraduate education and primary professional title; pharmacists’ understanding of clinical pharmaceutical care was closely correlated with pharmacists' education (P=0.002) and participation in clinical pharmaceutical care training (P=0.004); physician understanding of emergency plan for major emergencies was higher than pharmacists (P=0.024). Pharmacists participating in major emergencies were more involved in daily pharmaceutical care (P=0.027) and treatment planning (P=0.014); pharmacists participating in major emergencies were more positive in self-affirmation (P=0.032) and clinical pharmaceutical caring (P=0.031); 62.7% of physicians were satisfied with collaborations with pharmacists; 78.0% of patients knew little about clinical pharmaceutical care, 89.0% of patients expressed satisfaction with clinical pharmaceutical care provided by pharmacists. And there was a low level of trust.CONCLUSION Pharmacists at class 3A hospitals need to strengthen their self-awareness, enhance the relevant knowledge and capability, provide clinical pharmaceutical services and raise public awareness. It is imperative to improve the pharmaceutical education structure, diversify the modes of pharmaceutical advisory services, improve the coordination mechanism of drug supply, strengthen the monitoring of safe drug use and adverse reactions and strengthen emergency science popularization.