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我国医疗机构用药教育开展现状调查
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| 篇名： | 我国医疗机构用药教育开展现状调查 |
| TITLE： | Investigation on the current status of medication education in medical institutions in China |
| 摘要： | 目的 调查我国各级医疗机构用药教育开展及补偿现状，为用药教育的高质量发展提供依据和建议。方法采用网络问卷调查的方法，于2023年3月调查全国范围内各级医疗机构用药教育的开展情况，对结果进行描述性统计与影响因素分析。结果共回收问卷1368份，其中有效问卷1304份，问卷有效率为95.32%。我国医疗机构用药教育总体开展率为73.62%，东部、中部和西部地区用药教育开展率分别为76.05%、67.68%、73.76%，三级、二级和一级医疗机构开展率分别为87.11%、60.57%、46.32%；发药窗口是最常见的用药教育场所，口头交代是比例最高的用药教育形式。三级医疗机构与一级和二级医疗机构相比，用药教育场所和形式都更加多元；各级医疗机构总体用药教育年服务量的中位数为500人次，且医疗机构级别越高，用药教育年服务量越大（P＝0.023）；超过一半的医疗机构无任何形式的用药教育补偿，有补偿的医疗机构大多是在工作量上予以体现。医疗机构等级、信息化和自动化程度是影响用药教育是否开展的重要因素。结论与2019年相比，近年我国中部地区医疗机构用药开展率有一定提升；各地区的一级医疗机构用药教育开展率仍较低，需要继续提高。各医疗机构应根据自身特点设置用药教育场所，丰富用药教育形式，提高人才培养的数量和质量，继续积极落实药学服务收费，以促进用药教育高质量、可持续发展。 |
| ABSTRACT： | OBJECTIVE To investigate the development and current status of medication education in domestic medical institutions， aiming to provide reference and suggestions for better development of medication education. METHODS The online questionnaire survey was conducted in March 2023 to investigate the implementation of medication education in medical institutions at all levels nationwide； descriptive analysis and influencing factors analysis were conducted. RESULTS A total of 1 368 questionnaires were recycled， 1 304 of which were effective questionnaires， with the effective rate of 95.32%. The average rate of providing medication education was 73.62% in medical institutions nationwide， 76.05%， 67.68% and 73.76% respectively in Eastern， Central and Western regions， 87.11%， 60.57% and 46.32% respectively in tertiary， secondary and primary medical institutions. The commonest place and way of carrying out medication education were dispensing window and oral instructions， and both were more diverse in tertiary medical institutions， compared with second and primary medical institutions. The median annual service volume of medication education in medical institutions PUMCH-A- at all levels was 500 people； the higher the level of medical institutions， the larger the annual service volume of medication education （P＝0.023）. More than half of medical institutions didn’t have any form of compensation for medication education， which was mostly reflected in the workload of medical institutions with compensation. Grade of medical institutions， degree of information and automation were the major influencing factors of carrying out medication education. CONCLUSIONS The ratio of carrying out medication education is improved in the central region in China in recent years， compared with 2019； while that of primary institutions in all regions is at a low level and should be improved. The place of carrying out medication education should be set according to the characteristics of medical institutions， and medication education forms should be enriched as much as possible. The quantity and quality of medication education talents still need to be improved. Compensation for pharmaceutical care should be continually explored and implemented to prompt high-quality and sustainable development of medication education. |
| 期刊： | 2024年第35卷第11期 |
| 作者： | 张逸舟；都丽萍；张宇晴；刘思彤；梅丹 |
| AUTHORS： | ZHANG Yizhou，DU Liping，ZHANG Yuqing，LIU Sitong，MEI Dan |
| 关键字： | 医疗机构；用药教育；影响因素；补偿；药学服务；问卷调查 |
| KEYWORDS： | medical institutions； medication education； influencing factors； compensation； pharmaceutical care； questionnaire |
| 阅读数： | 34 次 |
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