| 周玥,马向君,张启钧,谢国亮,李朝辉.天津市零售药店药学服务开展现状调查[J].中国药事,2024,38(6):712-723 |
| 天津市零售药店药学服务开展现状调查 |
| Investigation on the Current Situation of Pharmacy Services in RetailPharmacies in Tianjin |
| 投稿时间：2023-06-10 |
| DOI：doi:10.16153/j.1002-7777.2024.06.013 |
| 中文关键词: 零售药店 药学服务 调查 执业药师 队伍建设 |
| 英文关键词: retail pharmacy pharmacy services survey licensed pharmacist team building |
| 基金项目: |
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| 摘要点击次数: 320 |
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| 中文摘要: |
| 目的：为提升零售药店执业药师药学服务水平提供参考。方法：设计调查问卷，对天津市零售药店的执业药师的药学服务开展现状进行调查，并就数据进行统计和分析。结果：共发放问卷3021份，回收有效问卷3001份，有效回收率为99.34%。被调查对象中大专及以上学历者占86.23%，（中）药学类专业人员占76.27%（47.95%+28.32%），副高级及以上职称人员仅占1.17%。参与调研的天津市各种类型药店均开展了较为详实的药学服务事项。但是非处方药店中药品安全及安全用药相关科普教育不足，在经营处方药及非处方药的零售药店，执业药师仅开展口头用药指导，在建立药历、开展用药情况追踪方面存在欠缺。慢性病管理药店，制定药学监护计划、分级分层管理疾病，用药疗效定期随访评估难以持续。医保药店中疗效追踪和安全性随访还有不足。直接面向患者提供专业服务的药房（DTP）中欠缺完整记录，长期随访不足。接入药品网络交易第三方平台药店的执业药师忙于订单核对、调配药品，用药交代没有落到实处。执业药师工作满意度达87.67%，执业药师对中成药推荐正确率27.16%，药品不良反应、患者教育相关知识掌握不精准。结论：执业药师队伍长足发展，但专业学历结构尚待优化；零售药店已逐步开展起基础的药学服务，但服务的水平和标准化程度尚待提高；执业药师工作满意度较高，但执业能力尚有差距。故提出鼓励零售药店开展多种类型及层次的药学服务满足公众多样化的社会需要；执业药师严守服务规范底线，不断提升执业能力素质；管理机构调动社会各界力量，提升执业药师职业荣誉感，增强职业吸引力，从而优化执业药师队伍结构，并采取一定措施，有效提升零售药店执业药师药学服务水平的建议。 |
| 英文摘要: |
| Objective: To provide a reference for improving the pharmacy service level of licensed pharmacistsin retail pharmacies. Methods: A questionnaire was designed to investigate the current situation of pharmacyservices of licensed pharmacists in retail pharmacies in Tianjin, and the data were statistically analyzed.Results: A total of 3021 questionnaires were distributed and 3001 valid questionnaires were recovered, with aneffective recovery rate of 99.34%. College or above accounted for 86.23%, pharmacy majors 76.27%, deputy senior titles only 1.17%. All types of pharmacies in Tianjin participated in the survey carried out more detailedpharmaceutical services. However, there was insufficient education on drug safety and safe drug use in nonprescriptionpharmacies. In retail pharmacies dealing with prescription drugs and non-prescription drugs, licensedpharmacists only carried out oral medication guidance, and there were defi ciencies in establishing drug historyand tracking drug use. Chronic disease management pharmacies, the development of pharmaceutical care plan,hierarchical management of disease, regular follow-up evaluation of drug effi cacy was diffi cult to sustain. Therewere still insuffi cient effi cacy tracking and safety follow-up in medical insurance pharmacies. Complete recordsin DTP pharmacies and long-term follow-up were insuffi cient. The licensed pharmacists who access to the thirdpartyplatform of drug network trading were busy with order verifi cation and drug allocation, and the medicationreplacement had not been implemented.Job satisfaction of licensed pharmacists was 87.67%, the correctrecommendation rate of licensed pharmacists for proprietary Chinese medicine were 27.16%, and the knowledgerelated to adverse reactions and patient education knowledge were not accurate. Conclusion: The number oflicensed pharmacists has developed rapidly, but the professional education structure needs to be optimized. Socialpharmacies have gradually developed basic pharmaceutical care, but the level and standardization of service needto be improved. The job satisfaction of licensed pharmacists increases, but the practicing ability still has a gap.Therefore, it is proposed to encourage social pharmacies to carry out various types and levels of pharmaceuticalcare to meet the diversifi ed social needs of the public; practicing pharmacists strictly abide by the bottom line ofservice norms and constantly improve their practicing ability and quality; the management agency should mobilizethe forces of all sectors of society to enhance the professional honor of licensed pharmacists and enhance theprofessional attractiveness, so as to optimize the structure of licensed pharmacists, and take certain measures toeff ectively improve the level of pharmaceutical care of licensed pharmacists in retail pharmacies. |
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