1. <source id="kfvgn"></source>

      <source id="kfvgn"></source>

        <i id="kfvgn"></i><b id="kfvgn"></b>
      1. ?
        我國DTP藥房腫瘤藥學服務能力現狀調研
        x

        請在關注微信后,向客服人員索取文件

        篇名: 我國DTP藥房腫瘤藥學服務能力現狀調研
        TITLE:
        摘要: 目的:調研我國直銷患者(DTP)藥房的腫瘤藥學服務能力與工作現狀,為構建以藥學服務為核心的DTP藥房質量評價體系提供參考。方法:于2019年9-12月期間,以電子問卷的形式調查我國全部126家掛牌DTP藥房從事腫瘤相關工作的藥師的背景、專業知識來源、藥學服務能力(包括審方與調配、用藥咨詢與指導、藥物治療管理、隨訪等方面)、抗腫瘤藥物藥學專業知識等情況;對126家掛牌的DTP藥房進行現場檢查,對其藥學服務管理現狀進行評價,并結合問卷調查結果描述現場檢查印象,評價我國DTP藥房腫瘤藥學服務能力現狀并提出相應建議。結果:共發放問卷400份,回收有效問卷392份,有效回收率為98.0%。DTP藥房藥師主要集中在華東地區,以江西(73人,18.62%)、安徽(68人,17.35%)為主;學歷主要為大專及以下(229人,58.42%),其次是本科(158人,40.31%);工作年限主要為>5年(241人,61.48%);專業方向以藥劑學為最多(123人,31.38%),藥學(含藥理學)次之(81人,20.66%)。DTP藥房藥師常規知識來源包括培訓課程的學習資料(302人次,77.04%)、教科書(250人次,63.78%)和微信推送(206人次,52.55%),前沿知識來源包括培訓課程(347人次,88.52%)、微信推送(211人次,56.38%)和參加學術會議(162人次,41.33%);其期望的培訓方式包括網絡視頻課程(344人次,87.76%)和線下課程(248人次,63.27%)。在審方與調配方面,主要存在醫療文書及資料尚未完全到位等問題,分別有82.91%、64.54%的藥師審方時需要常規病歷本、出院小結,91.58%的藥師以醫師手寫處方作為調配新型抗腫瘤藥物的依據。藥師在進行用藥咨詢與指導方面對過敏史、遺傳史、不良反應關注較少,認為藥物治療管理過程中的難點包括監測患者不良反應(239人次,60.97%)、評估用藥的合理性(222人次,56.63%)、形成完整的用藥記錄(219人次,55.87%);藥師期望的隨訪形式主要以電話(334人次,85.20%)、配藥現場(313人次,79.85%)為主,且333位(84.95%)藥師認為需要實行配藥預約制。藥師的抗腫瘤藥學專業知識考核得分率為40.56%~84.69%。在藥學服務管理方面,扣分以用藥評估、藥物治療管理的內容及流程、用藥隨訪及記錄為主,扣分比例分別為93%、86%、64%。現場檢查發現,藥師工作知識來源單一、對藥物不良反應分級標準等評估表的內容掌握不完全、審方不符合要求等問題較突出。結論:我國DTP藥房在相關政策的引導下發展迅速,但其藥學服務尚停留在基礎階段,與為患者提供全程化的藥學服務的要求有較大差距。有必要提高DTP藥房藥師的專業服務能力,并建立相應的藥房質量評價體系,從藥師個人和監督管理層面不斷提升DTP藥房的藥學服務質量。
        ABSTRACT: OBJECTIVE:To investigate antitumor pharmaceutical care ability a nd the current status of direct to patient (DTP) pharmacy in China ,and to provide reference for building a quality evaluation system of DTP pharmacy which focuses on the pharmaceutical care. METHODS :From Sept. to Dec. 2019, an electronic questionnaire survey was conducted amongpharmacists of all of 126 listed DTP pharmacies and involved wang_star@163.com education background ,professional knowledge sources andpharmaceutical care ability (such as prescription checking and E-mail:dujoan-88@163.com dispensing,medication consultation and guidance ,medication management,follow-up),pharmaceutical knowledge of antitumor medicine ,etc. DTP pharmacies in C hina were inspected on site , and their pharmaceutical care management were evaluated ,and impression of on-site inspection were discribed with questionnaire survey. The current situation of oncology pharmaceutical care ability of DTP pharmacy in China was evaluated and corresponding suggestions were put forward. RESULTS :A total of 400 questionnaires were sent out ,and 392 valid questionnaires were collected with recovery rate of 98.0%. The cancer pharmacists in DTP pharmacy were mainly from East China ,mainly in Jiangxi (73 persons,18.62%),Anhui(68 persons,17.35%). The pharmacists were mainly junior college or below (229 persons,58.42%), followed by undergraduate (158 persons,40.31%). The working years were more than 5 years(241 persons,61.48%). The majors were mostly pharmaceutics (123 persons,31.38%),followed by pharmacy (including pharmacology )(81 persons, 20.66%). The regular knowledge sources of pharmacists in DTP pharmacy included learning materials (302 person times , 77.04%),textbooks(250 person times ,63.78%)and Wechat push (206 person times ,52.55%);the latest knowledge sources included training courses (347 person times ,88.52%),Wechat push (211 person times ,56.38%)and academic conferences (162 person times ,41.33%). The expected training methods included online video courses (344 person times ,87.76%)and offline courses(248 person times ,63.27%). In terms of prescription checking and dispensing ,there were mainly problems such as incomplete medical documents and materials ;82.91% and 64.54% of pharmacists needed routine medical records and discharge summary,and 91.58% of pharmacists took the doctor ’s handwritten prescription as the basis for dispensing new anti-tumor drugs ; pharmacists paid less attention to allergy history ,genetic history and ADR in the field of drug consultation and guidance. According to DTP pharmacists ,the difficulties in the process of drug treatment management included patient ’s ADR monitoring (239 person times,60.97%),evaluating the rationality of drug use (222 person times ,56.63%),making a complete drug use record (219 person times ,55.87%). The main follow-up visits of pharmacists were telephone (334 person times ,85.20%)and dispensing site (313 person times ,79.85%). And 333 pharmacists(84.95%)thought it was necessary to make an appointment for dispensing ;the score rates of professional knowledge examination of antitumor pharmacy for the respondents were 40.56%-84.69%. In the aspect of pharmaceutical care management ,the main points of deduction were drug evaluation ,content and process of drug treatment management,drug follow-up and record ,and the proportion of deduction was 93%,86% and 64% respectively. In the on-site inspection,it was found that the pharmacist had a single source of working knowledge ,did not fully grasp the contents of the evaluation forms such as ADR classification standard ,and prescription checking did not meet the requirements. CONCLUSIONS : DTP pharmacy in China develops rapidly under the guidance of relevant policies ,but its pharmaceutical care is still in the basic stage,which is far behind the requirements of providing whole-course pharmaceutical care for patients. It is necessary to improve the professional service ability of DTP pharma
        期刊: 2020年第31卷第09期
        作者: 王喆元,羅鑫,葉真,葉璇,余波,翟青,杜瓊
        AUTHORS: WANG Zheyuan ,LUO Xin,YE Zhen,YE Xuan,YU Bo,ZHAI Qing,DU Qiong
        關鍵字: 直銷患者藥房;調查問卷;現場驗收;藥學服務能力
        KEYWORDS: DTP pharmacy ;Questionnaire;On-site inspection ;Pharmaceutical care ability
        總下載數: 3 次
        本日下載數: 0次
        本月下載數: 3次
        文件大小: 619.60Kb

        * 注:未經本站明確許可,任何網站不得非法盜鏈資源下載連接及抄襲本站原創內容資源!在此感謝您的支持與合作!

        ?