摘要
目的发现目前药学门诊开展过程中存在的问题,针对性地提出建设性意见,提高药学门诊服务水平。方法采取问卷调查法随机抽取我院医师、药师、门诊患者3类人群作为调查对象,针对不同群体分别设计3种自填式问卷,共调查300份问卷,调查结果通过Excel软件进行数据统计分析。结果制定用药方案时医师考虑最多的因素为剂型、剂量、不良反应等药物信息(98%),并且90%的医师在工作中遇到用药问题时自己查找资料处理,只有66%的医师选择向药师咨询。受访药师中有88%表示愿意为患者提供药学服务,认为最重要的素质是药学专业知识(96%)、交流能力和人际关系(96%);最认可的服务方式是现场咨询(100%)。受访患者中,34%的患者表示不熟悉用药,遇到最多的用药问题是可能出现的不良反应(34%),对用药存有疑问时,74%的患者会选择向医生咨询,仅20%的患者选择咨询对象为药师。结论目前药学门诊在开展的过程中,仍面临着制度体系不完善、公众概念认知较弱、药师临床实践能力不足、"重药轻医"传统观点尚未改变等诸多问题,建议通过加强制度建设、加大宣传、培养药师综合素质、加强医药交流等措施积极推进药学门诊。
Objective To find out existing problems in the development of pharmacology clinic,and put forward constructive suggestions to improve the level of pharmacology clinic service.Methods Questionnaire survey method was adopted and doctors,pharmacists and outpatients in our hospital were randomly selected as survey subjects.Three self-filled questionnaires were designed for different groups.A total of 300 questionnaires were investigated.The results were analyzed by Excel software.Results The drug information(98%),such as dosage form,dosage,and side effect,was the most important factor in the consideration of the medication plan of doctors.Totally 90% of the doctors dealt with the pharmaceutical problems by searching data by themselves,and only 66% of them chose to consult pharmacists.About 88% of the pharmacists surveyed were willing to provide pharmaceutical care for patients,and pharmaceutical expertise(96%),communication skills and interpersonal relationships(96%) were regarded as the most important quality.The most popular service mode was on-site consultation(100%).In the patients surveyed,34% of them were unfamiliar with medication.The most common medication problem was adverse reaction(34%),and 74% patients chose doctors for consultation when met medication questions,while only 20% chose pharmacists.Conclusion There are still many problems in the development of pharmacology clinic,such as imperfect institutional system,weak conception in the public,insufficient clinical practice ability of pharmacists,the unchanged traditional view of "prefering medicine to therapy",and so on.The institutional system,publicity and exchanges of doctors and pharmacists should be strengthened and the pharmacists comprehensive quality should be trained to promote the development of pharmacology clinic actively.
作者
江丽
何芳
刘丽娟
JIANG Li;HE Fang;LIU Li-juan(Jiangxi Cancer Hospital,Nanchang 330029,China)
出处
《实用药物与临床》
CAS
2019年第9期1004-1008,共5页
Practical Pharmacy and Clinical Remedies
基金
国家自然科学基金项目(81660414)
关键词
药学门诊
药师
认知
需求
Pharmacology clinic
Pharmacists
Cognition
Demand
作者简介
通信作者:何芳.
