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我国714家三级医疗机构药学门诊开展情况及影响因素分析
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| 篇名： | 我国714家三级医疗机构药学门诊开展情况及影响因素分析 |
| TITLE： | Development and influential factor analysis of pharmacy outpatient departments in 714 Chinese tertiary healthcare institutions |
| 摘要： | 目的 调研我国三级医疗机构药学门诊的开展情况，分析其影响因素。方法以医院药学部门管理者为调研对象，于2023年3月通过问卷星进行调查。从医院自身属性、药学门诊管理及药师队伍建设中选出自变量进行Logistic回归及线性回归，分析影响开设药学门诊和药学门诊全年（2022年）接待患者总人次的因素。结果与结论全国1304家不同等级医疗机构参与了本次调查，其中三级医院有714家。三级医院中有377家（占比52.80%）开设了药学门诊，包括321家三级甲等医院、48家三级乙等医院、8家其他三级医院。377家医院共开设了1739个药学门诊，涉及19个专业领域类别，以心血管相关领域（含抗凝）比例最高（占比16.45%）。华北、华中、华东及华南地区开设药学门诊的三级医院更多。三级乙等医院（P＝0.010）和医院年门诊量（P＝0.008）是开设药学门诊的影响因素，但影响程度较小。医院年门诊量（P＝0.042）和从事临床药学工作的药师数量（P＝0.004）是药学门诊接待患者人次的影响因素。我国三级医院开设药学门诊的比例不足，应进一步加速推动药学门诊的建设工作，并针对药学门诊及患者需求适当扩大医院药学团队的人才规模，以满足医疗实践和病患服务需求。 |
| ABSTRACT： | OBJECTIVE To investigate the basic situation of developing pharmacy outpatient departments in Chinese tertiary medical institutions and analyze the influencing factors. METHODS The research targeted the pharmacy outpatient department managers of hospitals and conducted a survey through Sojump in March 2023. Various independent variables were selected from the hospital’s own characteristics， the management of the pharmacy outpatient departments， and the construction of the pharmacist team for Logistic and linear regression analysis， with the aim of separately analyzing the factors influencing the establishment of pharmacy outpatient departments and the factors affecting the total number of patients served by these departments throughout the year 2022. RESULTS & CONCLUSIONS A total of 1 304 medical institutions of different levels nationwide participated in this survey， with 714 tertiary hospitals. Among the tertiary hospitals， 377 （52.80%） had established pharmacy outpatient departments， including 321 grade-A tertiary hospitals， 48 grade-B tertiary hospitals and 8 other tertiary hospitals. The 377 tertiary hospitals collectively operated 1 739 pharmacy outpatient departments， covering 19 specialized fields， with the highest proportion found in the cardiovascular field （including anticoagulation） at 16.45%. Tertiary hospitals in North China， Central China， East China and South China regions had more pharmacy outpatient departments. The establishment of pharmacy outpatient departments was found to be influenced by tertiary grade-B status （P＝0.010） and the annual outpatient volume of the hospital （P＝0.008）， although the impact was relatively small. The factors influencing the number of patients served by pharmacy outpatient departments were the annual outpatient volume of the hospital （P＝0.042） and the number of pharmacists engaged in clinical pharmacy work （P＝0.004）. The proportion of tertiary hospitals in China that have established pharmacy outpatient departments is insufficient. It is necessary to further accelerate the construction of pharmacy outpatient departments and appropriately expand the talent pool of hospital pharmacy teams based on the needs of pharmacy outpatient departments and patients， in order to meet the requirements of medical practice and patient care. |
| 期刊： | 2024年第35卷第04期 |
| 作者： | 梅隆；李飒；张宇晴；周硕；赵缯葳；张威；沈群红；甄健存 |
| AUTHORS： | MEI Long，LI Sa，ZHANG Yuqing，ZHOU Shuo，ZHAO Zengwei，ZHANG Wei，SHEN Qunhong，ZHEN Jiancun |
| 关键字： | 药学门诊；影响因素；调查问卷；回归分析 |
| KEYWORDS： | pharmacy outpatient departments； influential factors； questionnaire； regression analysis |
| 阅读数： | 99 次 |
| 本月下载数： | 44 次 |
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