我国临床药师与医师协作产出相关研究分析-中国药房

我国临床药师与医师协作产出相关研究分析

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篇名：	我国临床药师与医师协作产出相关研究分析
TITLE：	Analysis of Output Related Researches on Collaboration Between Clinical Pharmacists and Physicians in China
摘要：	目的：总结当前我国临床药师和医师协作产出的研究现状，为全面了解相关研究的开展趋势以及临床药师和医师的协作价值提供参考。方法：收集文献，梳理我国临床药师与医师协作产出相关研究的基本特征、使用的产出衡量指标及指标结果，并从时间、医院等级和病种/情形等3个维度探讨临床药师与医师协作产出衡量指标的研究关注点及研究结果。结果与结论：在研究关注点方面，近几年我国产出相关研究数量有所下降，三级医院开展的相关研究较多，而二级医院的研究较少且其评价产出的视角较局限。整体而言，目前研究较关注细菌感染中抗菌药物的使用，研究场所多为住院部，研究设计多为历史对照平行试验和单臂试验研究。此外，安全性、有效性和经济性等3种产出衡量指标呈多样化、科学化和全面化发展。然而，目前研究者对“患者认知水平“”再次发病率“”生活质量改善情况“”临床药学服务成本-效果/效益分析”等复杂、难测量的指标的关注度仍偏低。在研究结果方面，现有大多数研究可证明临床药师和医师协作可显著改善我国患者用药的安全性、有效性和经济性，且大部分指标“显著好转”的结果占比趋于稳定或逐步上升，但是当前仍有少部分研究未对协作前后的结果进行统计学检验。相关研究者今后仍需加强对门诊部药学服务、随机对照试验、多病种多情形的研究，并应科学合理地选用产出衡量指标，注重统计学方法的运用，以进一步拓展研究的关注点，全面探讨临床药师与医师协作的价值。
ABSTRACT：	OBJECTIVE：To summarize the current output research status of collaboration between clinical pharmacists and physicians in China ，and to provide reference for comprehensively understanding the development trend of relevant research and the collaborative value of clinical pharmacists and physicians. METHODS ：Literature analysis was used to sort out the general characteristics，the indexes and results of output related researches ，and investigate the focuses and results of collaboration output indexes from 3 dimensions，such as time ，hospital level and disease type /situation. RESULTS & CONCLUSIONS ：In the aspect of focuses，the number of output related researches in China had decreased in recent years ，among which tertiary hospitals conducted more related researches ；secondary hospitals had few related researches and a limited perspective on evaluating outputs. On the whole，the current researches paid more attention to t he use of antibiotics in bacterial in fection. Most of the research sites were inpatient departments ，and most of the research designs were historical controlled parallel trials and single arm trials. In addition，the three output measurement indexes of safety ， cpulucyxia@163.com effectiveness and economy develop diversely ， scientifically and comprehensively. Ho wever，at the present ，little attention was paid to complex and dif ficult measurement indexes ，such as“cognitive level of patients ”“recurrence rate ”improvement in “quality of life ”“cost-effectiveness/benefit analysis of clinical pharmaceutical care ”. In aspect of research result ，most of the existing researches could prove that the collaboration can significantly improve medication safety ，effectiveness and economy ；the proportion of “significantly improved ”results of most indicators had been stable or had increased stage by stage. However ，there were still a small number of researches that had not carried out statistical test on the results before and after collaboration. In the future ，relevant researchers still need to strengthen the research on outpatient pharmaceutical care ，randomized controlled trials and multi disease and multi situation ，and should scientifically and reasonably select output measurement indicators and pay attention to the application of statistical methods ，so as to further expand the focus of research and comprehensively explore the value of collaboration between clinical pharmacists and physicians.
期刊：	2021年第32卷第18期
作者：	夏露，黄元楷，席晓宇
AUTHORS：	XIA Lu，HUANG Yuankai ，XI Xiaoyu
关键字：	临床药师；医师；协作；产出衡量指标；安全性；有效性；经济性；时间；医院等级；病种/情形
KEYWORDS：	Clinical pharmacists ；Physicians；Collaboration；Output measurement index ；Safety；Effectiveness；Economy；
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