上海市医疗机构药师队伍的现状调查

目的 了解上海市医疗机构药师队伍的基本情况，为促进医院药学工作模式的改革、推进临床药师制、加强医院药学工作的建设提供依据。方法采用问卷调查法，对上海市416家医院(其中三级医院28家、二级医院52家、一级医院336家)6千余名药师的职称、学历及岗位分布等情况进行调查。结果平均每所三级医院拥有的高级职称及中级职称人数显著高于一二级医院，博士、硕士学历的人员主要分布在三级医院。二三级医院门急诊调剂岗位上，高、中级职称人员的比例低于其它部门。平均每百张床位配备的住院药房药师不足1名。结论上海市药师队伍中高、中级人员处于紧缺状态，分布不均。药学技术人员职称结构和学历结构难以胜任临床药学服务的要求。我们应着力于提高药师队伍的整体素质和学术水平，为临床药师制的推广做好人才准备。

Investigation into the status quo of the contingem of pharmacists in medical institutions of Shanghai

Objective To find out about the status quo of the contingent of pharmacists in medical institutions of Shanghai so as to provide basis for promoting reform in the mode of pharmacological work in the hospital and adopting the system of clinical pharmacists. Methods An investigation through questionnaires was made into over 6 000 pharmacists from 416 hospitals(28 third-tier hospitals, 52 second-tier hospitals, and 336 first-tier hospitals) with respect to their professional titles, educational backgrounds, and distribution of posts. Results On average, the number of personnel with senior or medium professional titles in third-tier hospitals was markedly higher than that in second- or first-tier hospitals; people with doctoral or master's degrees were distributed mosdy in third-tier hospitals; the proportion of personnel with senior or medium professional tides on emergency outpatient posts in second- or third-tier hospitals was lower than diat in other departments; and on average, the number of resident pharmacists per hundred beds was less than one. Conclusion There is a drastic shortage and unbalanced distribution of personnel with senior or medium professional titles in the contingent of pharmacists in Shanghai and the structures of the professional tides and educational backgrounds of the pharmacological personnel lag behind the needs for clinical pharmacological services. Efforts must be made to improve the overall quality and expertise of the contingent of pharmacists so as to get ready in terms of qualified personnel for the adoption of die system of clinical pharmacists.