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基于因子分析和模糊综合评价法的医院药师药学服务胜任力

研究 Δ

闫存玲 ，邢 玥 （1.哈尔滨医科大学附属肿瘤医院行风办公室，哈尔滨 150081；2.哈尔滨医科大学附属肿瘤
2 #
1＊
医院药学部，哈尔滨 150081）

中图分类号 R95 文献标志码 A 文章编号 1001-0408（2022）02-0240-04
DOI 10.6039/j.issn.1001-0408.2022.02.19

摘 要 目的 为相关学者开展药师药学服务胜任力研究和医疗机构开展药学人员的人力资源管理提供借鉴。方法 以《药师药学
服务胜任力评价标准（试行）》为胜任力评价指标设计调查问卷，采用方便抽样的方法，以哈尔滨市两家三级甲等医院的药学专业
技术人员为调查对象。采用探索性因子分析来判断胜任力指标体系各维度以及题项是否需要进行调整；运用层次分析法计算各
评价指标的最终权重；运用模糊综合评价法对药师药学服务胜任力进行综合评价。结果 累计回收问卷152份，其中有效问卷142
份，有效回收率为93.42％。受访者中，女性占76.8％，40岁及以下人员占60.6％，本科及以上学历人员占84.5％，中级职称人员占
45.1％，工作10年及以下人员占60.6％。采用探索性因子分析共提取出4个公因子，累计方差贡献率为78.841％，分别命名为知识
与技能、动机、个人素养、职业道德。药师药学服务胜任力总均分为（5.884±0.810）分，胜任力各条目发展不平衡，其中诚实守信、
认真负责和爱岗敬业得分较高，统计学知识、外语知识、药物治疗评价能力得分较低。根据模糊综合评价法，最终综合评价结果为
“符合”。结论 药师药学服务胜任力评价指标在医疗机构药师药学服务胜任力评价上具有良好的可行性和有效性。同时，医院药
师的基础知识及评价临床合理用药的能力尚需进一步提升。
关键词 医院药师；药学服务；胜任力；因子分析；模糊综合评价

Research on the competency of hospital pharmacists in pharmaceutical care based on factor analysis and
fuzzy comprehensive evaluation
YAN Cunling ，XING Yue（1. Dept. of Morals Office，Harbin Medical University Cancer Hospital，Harbin
2
1
150081，China；2. Dept. of Pharmacy，Harbin Medical University Cancer Hospital，Harbin 150081，China）
ABSTRACT OBJECTIVE To provide reference for scholars to carry out the research on the competency of pharmacists in
pharmaceutical care and the human resource management of hospital pharmaceutical personnel. METHODS The questionnaire was
designed with Pharmacist Pharmaceutical Service Competency Evaluation Standard（Trial）as the competency evaluation indexes.
The convenient sampling method was used to investigate the pharmaceutical technicians from two third-class grade A hospitals in
Harbin. Exploratory factor analysis was used to judge whether each dimension and item of competency index system needed to be
adjusted；the final weight of each evaluation index was calculated by analytic hierarchy process；fuzzy comprehensive evaluation
method was used to evaluate the competency of pharmacists in pharmaceutical care. RESULTS Totally 152 questionnaires were
collected and 142 valid questionnaires were collected，with an effective recovery rate of 93.42％. In this study，women accounted
for 76.8％，those aged 40 and below accounted for 60.6％，those with bachelor’s degree and above accounted for 84.5％，those with
intermediate professional title accounted for 45.1％，and those with 10 years of work or below accounted for 60.6％. Four common
factors were extracted in exploratory factor analysis，and the cumulative variance contribution rate was 78.841％ ，which were
named knowledge and skills，motivation，personal literacy and professional ethics. The average score of the pharmacist’s
pharmaceutical care competency was（5.884±0.810），and the development of various dimensions of competency was not balance；
honesty and trustworthiness，conscientiousness and responsibility and dedication scored higher，while the scores of statistical
knowledge，foreign language knowledge and drug treatment evaluation ability were lower. According to the evaluation method of
fuzzy comprehensive evaluation，the final comprehensive evaluation result was“consistent”. CONCLUSIONS The evaluation
indexes of pharmacist competency have good reliability and
Δ 基金项目：哈尔滨医科大学医学教育科学研究课题（No.XY2019-
validity in the competency evaluation of pharmacists in
09）；哈尔滨医科大学附属肿瘤医院海燕科研基金项目（No.JJMS2021-
medical institutions. At the same time，the basic knowledge of
32）
hospital pharmacists and their ability to participate in clinical
＊助理研究员，硕士。研究方向：医院管理、药事管理。电话：
0451-86298985。E-mail：yancunling@126.com rational drug use need to be further improved.
# 通信作者：主管药师，硕士。研究方向：药事管理。电话：0451- KEYWORDS hospital pharmacist； pharmaceutical care；
86298567。E-mail：124981153@qq.com competency；factor analysis；fuzzy comprehensive evaluation

·240 · China Pharmacy 2022 Vol. 33 No. 2 中国药房 2022年第33卷第2期