Page 12 - 《中国药房》2024年2期

我国医疗机构药学门诊开展现状调查

杨丽娟 ，万明媛 ，张 威 ，张宇晴 ，陆 进 ，甄健存 1， 4 #a ，沈群红 （1.首都医科大学附属北京积水潭医院
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药学部，北京 100035；2.清华大学公共管理学院卫生与发展研究中心，北京 100084；3.北京大学药学院，
北京 100191；4.中国医院协会药事专业委员会，北京 100035）
中图分类号 R95 文献标志码 A 文章编号 1001-0408（2024）02-0134-06
DOI 10.6039/j.issn.1001-0408.2024.02.02

摘 要 目的 调查我国医疗机构药学门诊现状，为促进药学门诊发展提供经验和建议。方法 采用问卷调查法，于2023年3－4
月调查全国31个省（自治区、直辖市）医疗机构药学门诊的开展情况，对结果进行描述性分析，并对药学门诊服务量的影响因素进
行回归分析。结果 本次调研共发放问卷1 368份，收回有效问卷1 304份，问卷有效回收率为95.32%。有463家医疗机构开展了
药学门诊，药学门诊开展率为 35.51%（463/1 304），其中三级、二级、一级及其他医疗机构药学门诊的开展率分别为 52.80%、
17.18%、5.88%。药学门诊开设频率为平均每周 3.17 d，平均每家医疗机构有出诊药师 5.99 名，出诊药师中临床药师占绝大多数
（88.68%，2 459/2 773）。受访医疗机构开设的药学门诊类别多样，包括联合门诊和药师独立门诊，以药师独立门诊中的药学专科/
专病门诊为主，占药学门诊总数量的89.72%。药学门诊出诊药师的价值体现形式多样，其中对药学门诊收费的医疗机构占比为
10.80%。受访医疗机构开展药学门诊的主要经验是重视学科建设和重视人才培养，面临的主要困难是补偿水平低和符合要求的
人才严重不足。临床药师人数、药学门诊出诊药师人数、有额外补偿与药学门诊服务量呈显著正相关（P＜0.05）。结论 我国医疗
机构药学门诊取得了较大发展，今后仍需进一步加强学科建设和人才培养，重视出诊药师的价值体现，以促进药学门诊健康发展。
关键词 药学门诊；现状；调查问卷；价值体现

Investigation of the current situation of pharmaceutical clinics in medical institutions in China
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YANG Lijuan ，WAN Mingyuan ，ZHANG Wei ，ZHANG Yuqing ，LU Jin ，ZHEN Jiancun ，SHEN Qunhong 2， 4
（1. Dept. of Pharmacy， Beijing Jishuitan Hospital Affiliated to Capital Medical University， Beijing 100035，
China；2. Health and Development Institute， School of Public Policy & Management， Tsinghua University，
Beijing 100084， China；3. School of Pharmaceutical Sciences， Peking University， Beijing 100191， China；
4. Pharmaceutical Specialized Committee， Chinese Hospital Association， Beijing 100035， China）
ABSTRACT OBJECTIVE To investigate the current situation of pharmaceutical clinic service in medical institutions in China
and provide experience and suggestions for promoting the development of pharmaceutical clinics. METHODS Questionnaire survey
was used to investigate the development of pharmaceutical clinics in medical institutions of 31 provinces （autonomous regions and
municipalities directly under the central government） in March to April 2023， and the descriptive analysis was conducted. The
regression analysis was carried out for the influential factors of pharmaceutical clinic service. RESULTS A total of 1 368
questionnaires were distributed in this survey and 1 304 valid questionnaires were collected with the effective response rate of
95.32%. A total of 463 medical institutions carried out pharmaceutical clinic service， the rate of which was 35.51% （463/1 304）；
the rates of pharmaceutical clinics in tertiary， secondary， primary and other medical institutions were 52.80%， 17.18% and 5.88%，
respectively. The frequency of opening pharmaceutical clinics was 3.17 days per week on average， with an average of 5.99 visiting
pharmacists in each medical institution. Among the visiting pharmacists， clinical pharmacists accounted for the vast majority
（88.68%， 2 459/2 773）. There were various categories of pharmaceutical clinics， including joint clinics and pharmacist-independent
clinics； among pharmacist-independent clinics， pharmaceutical specialty/specialty disease clinics were the main ones， accounting
for 89.72% of the total number of pharmaceutical clinics. The value of pharmacists in pharmaceutical clinics was manifested in
various forms， among which the proportion of medical
＊第一作者 副主任药师，硕士。研究方向：临床药学、药事管理。 institutions charging pharmaceutical clinics was 10.80%. The
E-mail：yanglj316@126.com
main experiences in developing pharmaceutical clinics were to
# a 通信作者 主任药师，硕士。研究方向：医院药学、临床药学、
药事管理。E-mail：zhenjiancun@163.com attach importance to discipline construction and personnel
# b 通信作者 副教授，博士。研究方向：医院药学变革。E-mail： training. The main difficulties in developing pharmaceutical
shenqh@tsinghua.edu.cn clinics were low compensation levels and a shortage of talent.

· 134 · China Pharmacy 2024 Vol. 35 No. 2 中国药房 2024年第35卷第2期