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北京市5家“三甲”医院医师对临床药学服务的评价调查
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| 篇名： | 北京市5家“三甲”医院医师对临床药学服务的评价调查 |
| TITLE： | |
| 摘要： | 目的：为推进临床药学服务发展提供实证依据。方法：设计调查问卷，运用便利抽样法对北京市5家“三甲”综合性医院医师进行调查，并采用探索性因子分析、单因素分析和多元逐步回归分析方法，分析医师对临床药学服务的评价及其影响因素。结果：共发放问卷300份，回收有效问卷284份，有效回收率为94.7％。受访医师对临床药学服务的需求主要集中在定期提供最新药品信息、提供患者用药咨询和指导、通报药品不良反应等信息几个方面。受访医师对临床药师提出的用药建议采纳程度一般[（3.45±0.646）分]，认为临床药师尚需提高专业素质和综合能力才能更好胜任临床药学服务相关工作[（3.13±0.946）分]，对临床药学服务的总体评价一般[（3.44±0.725）分]；职称是受访医师对临床药学服务评价得分的影响因素（P＜0.05）。受访医师认为改善外部环境、提高临床药师专业素质和综合能力有利于临床药学服务的开展。结论：医师对临床药学服务较为支持，但评价不高。从国家、社会和医院层面加大对临床药学扶持力度和临床药师培养力度，促使临床药师自身转变观念、定位和提升专业素质及综合能力，有助于提高医院临床药学服务质量。 |
| ABSTRACT： | OBJECTIVE： To provide empirical basis for promoting the development of clinical pharmaceutical care. METHORDS： Questionnaires were designed， convenience sampling method was conducted to investigate the physicians in 5 third grade class A comprehensive hospitals in Beijing， exploratory factor analysis， single factor analysis and multiple regression analysis were used to analyze the evaluation of physicians for clinical pharmaceutical care and its influential factors. RESULTS： Totally 300 questionnaires were sent out， 284 were effectively received with effective recovery of 94.7％. The needs of surveyed physicians for clinical pharmaceutical care mainly focused on the regularly providing the latest drug information， providing advice and guidance to patients and notification about adverse reactions. The surveyed physicians’ adoption for the medication recommended by the clinical pharmacists was general （3.45±0.646）， who thought clinical pharmacists still needed to improve the professional quality and comprehensive ability to better qualified for clinical pharmaceutical care （3.13±0.946）， overall evaluation of clinical pharmaceutical care was general （3.44±0.725）； professional title was the influential factor of clinical pharmaceutical care evaluation （P＜0.05）. Physicians believed that improving the external environment， the professional quality of pharmacists and strengthening the clinical quality of pharmacists were beneficial to the development of clinical pharmaceutical care. CONCLUSIONS： Physicians support clinical pharmaceutical care， but the evaluation is not high. Strengthening efforts to supporting clinical pharmacy and clinical pharmacists’ training from the national， social and hospital levels， promoting self-change concept， positioning， enhancing the professional quality and comprehensive ability contribute to improving the quality of clinical pharmaceutical care. |
| 期刊： | 2016年第27卷第36期 |
| 作者： | 吴汀溪，王斌，王亚东 |
| AUTHORS： | WU Tingxi，WANG Bin，WANG Yadong |
| 关键字： | 北京市；“三甲”医院；医师；临床药学服务；评价；调查 |
| KEYWORDS： | Beijing； Third grade class A hospital； Physician； Clinical Pharmaceutical care； Evaluation； Investigation |
| 阅读数： | 637 次 |
| 本月下载数： | 2 次 |
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