Page 116 - 《中国药房》2023年23期

·药师与药学服务·

广东省零售连锁药店与执业药师药学服务能力调研
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沈曼娜 ，阮娴静 ，张 艳 ，陈洁玲 ，岳新燕（1.广东药科大学医药商学院，广州 510006；2.国药控股广州有
限公司，广州 510160；3.广东省食品药品审评认证技术协会，广州 510080）
中图分类号 R952 文献标志码 A 文章编号 1001-0408（2023）23-2922-06
DOI 10.6039/j.issn.1001-0408.2023.23.19

摘 要 目的 为提升零售连锁药店药学服务质量和执业药师药学服务能力，满足公众药学服务需求提供参考建议。方法 通过
问卷调查法和知情人访谈法，对广东省零售连锁药店执业药师基本情况、药学服务开展情况、受访执业药师能力水平和知识水平
现状、开展药学服务的影响因素等内容进行调查分析。结果与结论 共发放问卷 444 份，回收有效问卷 326 份，有效回收率为
73.42%。326名受访执业药师中，本科及以上学历占40.18%，具有药学或中药学及相关专业背景的占79.75%；共185名（56.75%）
受访执业药师表示其所在的零售连锁药店设置了药学服务专区；分别有320名（98.16%）、137名（42.02%）和181名（55.52%）受访
执业药师表示其所在零售连锁药店开展了合理用药指导、中药代煎和建立患者用药档案的药学服务项目。受访执业药师各项能
力水平和知识水平自我评价得分均显著高于3分（中间值），但药物治疗管理能力和药学监护实践方法的自我评价得分相对较低。
受访执业药师认为影响零售连锁药店开展药学服务的主要因素为患者不信任或不配合（196名，60.12%）、销售绩效要求（170名，
52.15%）和日常工作量大（165名，50.61%）。建议相关部门通过加快《药师法》立法进程，优化执业药师继续教育制度，开展药店药
学服务能力星级评定工作等措施鼓励零售连锁药店和执业药师的专业化发展；同时，建议药品零售连锁企业转变经营思维，加大
药学服务投入并加强药店专业氛围建设，优化执业药师薪酬结构，提升药店和执业药师药学服务能力，满足公众药学服务需求。
关键词 零售连锁药店；执业药师；药学服务；广东省；调研

Investigation and study on pharmaceutical care ability of retail chain pharmacies and licensed pharmacists
in Guangdong province
SHEN Manna ，RUAN Xianjing ，ZHANG Yan ，CHEN Jieling ，YUE Xinyan （1. School of Pharmaceutical
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Business， Guangdong Pharmaceutical University， Guangzhou 510006， China；2. Sinopharm Holding Guangzhou
Co.， Ltd.， Guangzhou 510160， China；3. Guangdong Food and Drug Evaluation and Certification Technology
Association， Guangzhou 510080， China）
ABSTRACT OBJECTIVE To provide reference for strengthening the quality of pharmaceutical care in retail chain pharmacies
and the professional capabilities of licensed pharmacists， and to meet the public’s pharmaceutical care needs. METHODS A
combination of questionnaire survey and informant interview was used to investigate the general information of licensed pharmacists
in retail chain pharmacies in Guangdong province， the implementation of pharmaceutical care， the competence and knowledge
status of the surveyed licensed pharmacists， and the factors affecting the development of pharmaceutical care. RESULTS &
CONCLUSIONS A total of 444 questionnaires were sent out and 326 effective questionnaires were collected， with an effective
recovery rate of 73.42%. Among 326 surveyed licensed pharmacists， a college degree or higher accounted for 40.18%， and the
pharmacy major or related accounted for 79.75%. A total of 185 （56.75%） of the surveyed licensed pharmacists indicated that the
retail chain pharmacies where they worked had established specified areas of pharmaceutical care； 320 （98.16%）， 137 （42.02%）
and 181 （55.52%） of the surveyed licensed pharmacists indicated that the retail chain pharmacies where they worked could provide
services such as rational medication guidance for patients， decocting traditional Chinese medicines and establishing health records，
etc. The self-assessment scores of the surveyed licensed pharmacists were significantly higher than 3 （median） for competence and
knowledge level， but the self-assessment scores for medication therapy management competence and pharmaceutical care practice
were relatively low. The surveyed licensed pharmacists believed that the main factors affecting the development of pharmaceutical
care in retail chain pharmacies included patients’ lack of trust or cooperation （196， 60.12%）， sales performance requirements
（170， 52.15%）， and heavy daily workload （165， 50.61%）. It
Δ 基金项目 广东省2021年度教育科学规划课题（高等教育专项）
is recommended that relevant authorities expedite the
（No. 2021GXJK332）
＊第一作者 硕士研究生。研究方向：药品流通与管理。E-mail： legislative process of the Pharmacist Law， optimize the
936300046@qq.com continuing education system for licensed pharmacists， and
# 通信作者 教授，硕士生导师，博士。研究方向：技术创新、产业 implement a star-rating evaluation system for pharmaceutical
经济。E-mail：53156692@qq.com care capabilities in pharmacies， so as to encourage retail chain

· 2922 · China Pharmacy 2023 Vol. 34 No. 23 中国药房 2023年第34卷第23期