北京市5家“三甲”医院周边零售药店的分布、药品供给和执业药师配备情况调研
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篇名: 北京市5家“三甲”医院周边零售药店的分布、药品供给和执业药师配备情况调研
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摘要: 目的:对“三甲”医院周边零售药店的分布、药品供给和执业药师配备情况进行调研,为相关管理部门的决策提供参考。方法:通过实地调查与问卷调查相结合的方式,对2017年北京市5家“三甲”医院周边1 km范围内零售药店的分布情况、类型、营业面积、年营业额、药品品种、销售额贡献排名、日均处方量、药师配备情况和100名受访药师基本情况进行调查分析。结果:5家医院周边1 km范围内共有零售药店43家,平均每家医院周边8.60家,距离以200~400 m和800~1 000 m数量最多(均为11家),其中21家(48.84%)为连锁药店;38家药店(88.37%)的营业面积在100~175 m2,其中以100~125 m2为主(16家,37.21%);40家药店统计了年营业额,在50万~10 000万元之间,其中距离医院0~200 m的药店年营业额最高;药品(处方药和非处方药)平均品种数为2 511种,其中34家(79.07%)药店非处方药品种数多于处方药品种数,26家(60.47%)药店非处方药销售金额高于处方药销售金额;销售额贡献排名前三的是抗肿瘤药、心脑血管类药与抗感染药;28家(65.11%)药店的日均处方量不超过10张,仅有7家(16.28%)药店日均处方量在20张以上;平均每家药店工作人员为7.4人、执业药师1.37名,58名药师(58%)的第一学历为大专、38名(38%)为高中或中专,仅3名(3%)为本科或以上。结论:随着“医药分开”政策的逐步推进和更多医院处方的外流,医院周边需通过增加零售药店的数量、扩大药店的营业面积和加快执业药师队伍建设、提高药师教育水平等手段来提升药店的药学服务能力。
ABSTRACT: OBJECTIVE: To investigate the distribution, drug supply and quantity of licensed pharmacists in retail pharmacies around Third Grade Class A Hospitals, and to provide reference for decision-making of related management departments. METHODS: Field investigation and questionnaire survey were used to investigate the distribution, type, operating area, annual turnover, drug type, ranking of consumption sum, daily prescription amount and pharmacist allocation of 5 Third Grade Class A Hospitals in Beijing and general information of 100 surveyed pharmacists in 2017. RESULTS: There were 43 retail pharmacies in total within 1 km of 5 Third Grade Class A Hospitals, with an average of 8.60 retail pharmacies for each hospital. The number of retail pharmacies with distance between 200-400 m and 800-1 000 m was the largest (11), of which 21 (48.84%) were chain drugstores. The operating area of 38 pharmacies (88.37%) was in the range of 100-175 m2, mainly ranging 100-125 m2 (16 pharmacies, 37.21%). The annual turnover of 40 pharmacies were counted and ranged 50-10 000 ten thousand yuan, among which the pharmacies 0-200 m away from the hospital had the highest annual turnover. The average variety of drugs (prescription drugs and over-the-counter drugs) was 2 511 kinds. 34 pharmacies (79.07%) had more varieties of over-the-counter drugs than prescription drugs, and the consumption sum of over-the-counter drugs was higher than that of prescription drugs in 26 pharmacies (60.47%). Top 3 drugs in the list of consumption sum were antineoplastic drugs, cardiovascular drugs and anti-infective drugs. Average daily prescriptions of 28 drugstores (65.11%) were less than 10 pieces; average daily prescription were more than 20 pieces in only 7 pharmacies (16.28%). On average, each pharmacy had 7.4 staff members and 1.37 licensed pharmacists. 58 staff members’ first degree was junior college (58%), 38 staff members’ first degree was technical secondary school or high school (38%), and only 3 (3%) staff members’ first degree was undergraduates or above. CONCLUSIONS: With the gradual promotion of “health care policy” and the outflow of more hospital prescriptions, the retail pharmacies around hospitals should increase their numbers, expand the operating area, accelerate the construction of licensed pharmacists and improve the education level of pharmacists so as to improve the pharmaceutical care ability.
期刊: 2019年第30卷第7期
作者: 张杨,温爱萍,潘晨,任悦,殷诺雅,沈素
AUTHORS: ZHANG Yang,WEN Aiping,PAN Chen,REN Yue,YIN Nuoya,SHEN Su
关键字: 北京市;零售药店;药品供给;执业药师;药学服务
KEYWORDS: Beijing; Retail pharmacies; Drug supply; Licensed pharmacists; Pharmaceutical care
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