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连锁药店承接基层医疗卫生机构药房职能可行性的调查分析
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| 篇名： | 连锁药店承接基层医疗卫生机构药房职能可行性的调查分析 |
| TITLE： | |
| 摘要： | 目的：分析连锁药店承接基层医疗卫生机构药房职能的可行性。 方法：对我国25个省（市）连锁药店、基层医疗卫生机构和患者进行考察和问卷调查，调查连锁药店硬件条件，对比连锁药店与基层医疗卫生机构药房的药学服务水平，分析患者对连锁药店服务水平的评价，探讨连锁药店承接医疗机构药房职能的可行性、存在的问题并提出建议。结果与结论：共调查了301家连锁药店、324家基层医疗卫生机构以及320位患者，分别回收有效问卷252、278、291份，有效回收率分别为83.7％、85.5％、90.9％。连锁药店在营业场所面积、人员配备培训及药品供应等方面已经呈现一定规模或达到一定水平，但部分药学服务尚有所欠缺；患者对连锁药店药师服务满意度较高，70％左右的患者认为连锁药店可以承接基层医疗卫生机构的药房职能。连锁药店在营业面积、人员与培训、硬件设施设备、药品供应能力、独立的药品流通体系、丰富的药学服务形式等方面已经具备了承接基层医疗卫生机构药房功能的可行性，但仍存在工作人员数量较少、药学服务硬件条件与药学服务水平参差不齐、信息化管理系统（如客户关系管理系统、企业资源计划系统、智能商务管理系统）建设较为欠缺、中药饮片配备能力较弱、社会责任存在偏差等问题。笔者建议连锁药店应多方强化以提高整体服务水平，合理设置药学服务区面积，切实开展药学服务，增加中药饮片品种数，严格把控中药饮片存储能力，以满足患者需求，使得其有能力承接基层医疗卫生机构药房职能。 |
| ABSTRACT： | OBJECTIVE： To analyze the feasibility of chain pharmacies to undertake the pharmacy function of primary medical institution. METHODS： Investigation and questionnaire survey were conducted among chain pharmacies， community health service institutions and patients from 25 provinces （cities） in China. Hardware conditions of chain pharmacies were investigated； pharmaceutical care of chain pharmacies was compared with that of pharmacy in primary medical institutions； the service levels of chain pharmacies were evaluated. The feasibility， problems and suggestion about chain pharmacies to undertake the pharmacy function of medical institution were analyzed. RESULTS & CONCLUSIONS： A total of 301 chain pharmacies， 324 primary medical institutions and 320 patients were investigated； 252， 278 and 291 effective questionnaires were collected， with effective recovery rates of 83.7％， 85.5％ and 90.9％， respectively. Chain pharmacies had shown a certain scale or reached a certain level in business area， staff， training and drug supply. However， there were deficient in some pharmaceutical care. Patients were greatly satisfied with pharmacist’s service in chain drugstores. About 70％ patients believed that chain pharmacies undertook the pharmacy function of primary medical institutions. Chain pharmacies already had the feasibility of undertaking the function of pharmacy in primary health care institutions in respects of business area， personnel and training， hardware and equipment， drug supply capability， independent drug circulation system and rich pharmaceutical care form. There were some problems such as small number of staff， uneven hardware and level of pharmaceutical care， construction deficiency of information management system （customer relationship management system， enterprise resource planning system， intelligent business management system）， weak ability to prepare TCM decoction pieces， deviation in social responsibility. Chain pharmacies should strengthen and improve the service level， set up the area of pharmaceutical care area rationally， carry out pharmaceutical care practically， increase the types of TCM decoction pieces and strictly control the storage of TCM decoction pieces so as to meet the demand of patients and enable chain pharmacies to undertake the function of pharmacy in primary health care institutions. |
| 期刊： | 2018年第29卷第19期 |
| 作者： | 周梅梅，薛天祺，姚雯，范一航，王艳芳，周大创，陈嘉玥，茅宁莹 |
| AUTHORS： | ZHOU Meimei，XUE Tianqi，YAO Wen，FAN Yihang，WANG Yanfang，ZHOU Dachuang，CHEN Jiayue，MAO Ningying |
| 关键字： | 连锁药店；承接；基层医疗卫生机构；药房职能；可行性 |
| KEYWORDS： | Chain pharmacies； Undertake； Primary medical institution； Pharmacy function； Feasibility |
| 阅读数： | 432 次 |
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