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全国医疗机构药物重整服务规范化开展情况的调查研究
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| 篇名： | 全国医疗机构药物重整服务规范化开展情况的调查研究 |
| TITLE： | Investigation on the standardization of medication reconciliation service in national medical institutions |
| 摘要： | 目的 为医院药物重整服务工作的顺利开展和高质量发展提供参考。方法设计半结构式调查问卷，分别于《医疗机构药物重整服务规范》等5项规范（下称“规范”）发布前后（2021年和2022年）对全国各医疗机构的药物重整服务开展情况进行调查，并对调查结果进行描述性分析。结果规范发布后，各级医疗机构药物重整服务开展率由2021年的15.10%（434/2874）增长到2022年的27.84%（363/1304）。2022年，363家开展了药物重整服务的医疗机构中，参与药物重整服务的药师中位人数为6人，药师参加药物重整服务规范化培训的参培率为75.00%，其中三级甲等医院的参培率较高，达到了85.71%。药物重整服务覆盖的主要环节包括患者新入院、转科和出院。药师在药物重整服务中发现的主要问题包括重复用药（252家，69.42%）、用法用量不合理（228家，62.81%）和药物相互作用及不良反应（218家，60.06%）。仅69家（19.01%）医疗机构有单独的电子化信息记录系统，48家（13.22%）构建了完善的质量管理和评价改进系统。在药师价值体现方面，有141家（38.84%）医疗机构没有给予相关药师任何形式的补偿“。与提高患者满意度、改进服务等工作紧密联系”是影响药物重整服务工作的最主要经验（192家，52.89%），而“符合要求的人才严重不足”是各级医疗机构开展药物重整服务面临的最主要困难（238家，65.56%）。结论规范的发布有效提升了全国医疗机构药物重整服务的开展率，但各级医疗机构在药物重整服务人员的配备、服务内容、药物重整服务信息管理以及质量控制与评价系统的构建方面均还有一定的完善空间。 |
| ABSTRACT： | OBJECTIVE To provide a reference for the implementation and high-quality development of hospital medication reconciliation. METHODS A semi-structured questionnaire was designed to investigate the implementation of drug reconciliation services in medical institutions before and after the release of 5 standards such as Standard for Medication Reconciliation Services in Medical Institutions（“standards” for short，in 2021 and 2022）. Descriptive statistical analysis was conducted on the survey results. RESULTS After the promulgation of the standards， the medication reconciliation service rate of all types of medical institutions increased from 15.10% （434/2 874） in 2021 to 27.84%（363/1 304） in 2022. In 2022， in the 363 medical institutions providing drug reconciliation services， the median number of pharmacists involved in drug reconciliation was 6. The participation rate of pharmacists in standardized training for drug reconciliation services was 75.00%， among which the participation rate of third-class hospitals was higher， reaching 85.71%. The main stages covered by medication reconciliation services included patient admission， transfer between departments， and discharge. The main problems found in the service included repeated medication （252， 69.42%）， inappropriate usage and dosage （228， 62.81%）， drug interactions and adverse reactions （218， E-mail：cputianxin@163.com 60.06%）. Only 69 institutions （19.01%） had a separate electronic information recording system， while 48 institutions 58516003。E-mail：zhenjiancun@vip.163.com （13.22%） had established comprehensive quality management and evaluation improvement systems. In terms of value embodiment， 141 institutions （38.84%） did not provide any form of compensation to relevant pharmacists. “Closely linked to enhancing patient satisfaction and improving services” was the most significant experience influencing medication reconciliation work（192， 52.89%）， while “the shortage of talent which meet the relevant requirements” stands as the primary challenge faced by medical institutions at all levels（238， 65.56%）. CONCLUSIONS The release of the standards has effectively improved the development rate of medication reconciliation in national medical institutions. However， there is still room for improvement in various aspects， including the allocation of personnel for medication reconciliation services， service content， information management， and the construction of quality control and evaluation systems. |
| 期刊： | 2024年第35卷第10期 |
| 作者： | 田欣；闫雪莲；梅丹；甄健存；沈群红；陆进 |
| AUTHORS： | TIAN Xin，YAN Xuelian，MEI Dan，ZHEN Jiancun，SHEN Qunhong，LU Jin |
| 关键字： | 药物重整；医疗机构；规范化培训；问卷 |
| KEYWORDS： | medication reconciliation； medical institutions； standardized training； questionnaire |
| 阅读数： | 27 次 |
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