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江苏省基层医疗卫生机构服务能力及药学服务建设现状的调查与思考
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| 篇名： | 江苏省基层医疗卫生机构服务能力及药学服务建设现状的调查与思考 |
| TITLE： | |
| 摘要： | 目的：调查江苏省基层医疗卫生机构服务能力及药学服务建设现状。方法：采用问卷调研方式对江苏省13个地级市的基层医疗卫生机构的基本服务情况（包括服务方式、诊疗科目等）、资源配置（包括物力资源、人力资源）及药学服务建设情况（包括药品采购流程主导者、药学部门设置情况、用药安全管理情况等）进行调查及统计，评价江苏省基层医疗卫生机构服务能力及药学服务建设现状。结果：共调研了江苏省579家基层医疗卫生机构，回收问卷579份（回收的问卷中有部分项目存在未答情况）。江苏省基层医疗卫生机构的主要服务方式为门诊（543/555，97.8％），其次是急诊（321/555，57.8％）和住院（292/555，52.6％）；设置较多的科室有全科医疗科（452/568，79.6％）、预防保健科（401/568，70.6％）、内科（365/568，64.3％）；16.1％（93/533）的基层医疗卫生机构未设床位；36.4％（211/579）的基层医疗卫生机构无主任医师；20.9％（111/532）的基层医疗卫生机构由药师来主导药品采购过程；42.5％（212/499）的基层医疗卫生机构未设置药学部门；43.9％（236/537）的基层医疗卫生机构由医师来对患者的用药安全负责，仅16.2％（87/537）由药师对用药安全负责。结论：江苏省基层医疗卫生机构在服务能力建设上已取得一定的成就，但在人力资源、设备设施、药学服务建设等方面仍有待改善。 |
| ABSTRACT： | OBJECTIVE： To explore the current situation of service ability and pharmaceutical service construction of primary healthcare institutions in Jiangsu province. METHODS： Questionnaire survey was conducted among primary healthcare institutions of 13 prefecture level cities in Jiangsu province， involving basic service information （such as serving mode， medical departments）， resource allocation （such as hardware， human resource） and pharmaceutical care construction （such as the leaders of the drug procurement， pharmaceutical departments allocation， mediation safety management）. The current situation of service ability and pharmaceutical service construction was evaluated in primary healthcare institutions of Jiangsu province. RESULTS： A total of 579 primary healthcare institutions in Jiangsu province were investigated and 579 questionnaires were collected （some items in the questionnaires were not answered）. Outpatient service （543/555，97.8％） was the main mode of service provided by primary healthcare institutions in Jiangsu province， followed by emergency call （321/555，57.8％） and hospitalization （292/555，52.6％）； the frequently established department in primary healthcare institutions was the medical department for all （452/568，79.6％）， preventive healthcare department（401/568，70.6％）， internal medicine department （365/568，64.3％）； 16.1％ （93/533）of the primary healthcare institutions had no beds； 36.4％ （211/579）of the institutions had no chief physician； 20.9％ （111/532）of the primary healthcare institutions medicine procurement were managed by pharmacists； 42.5％ （212/499）of the institutions had no pharmaceutical departments； physicians were responsible for patients' medication safety in 43.9％ （236/537） of the primary healthcare institutions and pharmacists were responsible for patients' medication safety in only 16.2％ （87/537）of the institutions. CONCLUSIONS： Primary healthcare institutions in Jiangsu province have made some achievements in service capability building. Human resources， equipment and facilities， pharmaceutical care construction and other aspects still need to be improved. |
| 期刊： | 2019年第30卷第23期 |
| 作者： | 黄其翔，卢梦情，徐蔼琳，席晓宇 |
| AUTHORS： | HUANG Qixiang，LU Mengqing，XU Ailin，XI Xiaoyu |
| 关键字： | 基层医疗卫生机构；服务能力；药学服务建设；江苏省；现状；调查 |
| KEYWORDS： | Primary healthcare institutions； Service ability； Pharmaceutioal service construction； Jiangsu province； Courrent situation； Survey |
| 阅读数： | 408 次 |
| 本月下载数： | 10 次 |
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