|
|
Investigation on the current situation and influencing factors of outpatient pharmaceutical care clinic in our hospital#br# |
TONG Huan DAI Yaqin AN Wei XIA Fei ZHANG Bingwu ZHANG Mingwei |
Department of Pharmacy, the Third People’s Hospital of Hubei Province of Jianghan University, Hubei Province, Wuhan 430033, China |
|
|
Abstract Objective To explore the current situation and main influencing factors of outpatient pharmaceutical care (OPC) in the Third People’s Hospital of Hubei Province of Jianghan University(hereinafter referred to as “our hospital”). Methods Through consulting domestic and foreign literature and expert consultation, a questionnaire on knowledge, belief, and behavior of OPC was compiled, using both online and offline questionnaires. This questionnaire survey was conducted in the OPC of our hospital from August to November 2020, and multiple linear regression was used to explore its influencing factors. Results In this survey, a total of 450 questionnaires were distributed and returned, of which 438 were valid questionnaires, and the questionnaire effectiveness rate was 97.33%. There were statistically significant differences in the scores of daily medication experience (cognition) of respondents in different age and occupations (P < 0.05); there were statistically significant differences in the scores of daily medication experience (cognition), clinical pharmacists’ personalized service (attitude), and OPC experience (behavior) among respondents with different educational backgrounds (P < 0.05). Daily medication experience, personalized service from clinical pharmacists, and OPC experience were positively correlated with attitude toward OPC (r = 0.214, 0.240, 0.110, P < 0.05 or P < 0.01). Multiple linear regression analysis showed that after excluding gender, age, occupation, and educational background, the personalized service of clinical pharmacists could significantly and positively affect the acceptance of OPC, and the residuals of the linear regression model obeyed a normal distribution (P < 0.05). Conclusion Educational level and personalized service of clinical pharmacists are the main factors affecting OPC.
|
|
|
|
|
[1] 中共中央国务院.中共中央国务院关于深化医药卫生体制改革的意见[EB/OL].(2009-03-17)[2020-05-28].http://www.gov.cn/jrzg/2009-04/06/content_1278721.htm.
[2] 国务院.国务院关于实施健康中国行动的意见[EB/OL].(2019-07-15).http://www.gov.cn/zhengce/content/2019-07/15/ content_5409492.htm.
[3] 国家卫生与计划生育委员会医政医管局.关于加强药事管理转变服务模式的通知[S].国卫办医发〔2017〕26号.
[4] 陈文衍,蔡卫民,马国.患者及其家属对临床药师与药学服务认知和需求情况调查研究[J].中国医院药学杂志,2017,37(24):2490-2495.
[5] 王永利,张振香,林蓓蕾,等.用药生活问卷的汉化及其在社区老年多重用药患者中的信效度分析[J].中国全科医学,2020,23(15):1864-1872.
[6] 张铭,曹瑾,王颖香,等.北京、成都、兰州居民家庭药品可及性入户调查[J].中国现代应用药学,2020,37(13):1650-1655.
[7] 邓丹,廖若夷,张涛,等.基于德尔菲法构建慢性乙型肝炎患者生活方式依从性量表的研究[J].中西医结合肝病杂志,2021,31(5):409-412.
[8] 侯春蕾,许颖,崔延婕,等.2型糖尿病中医问诊量表的研制及临床应用概述[J].世界科学技术-中医药现代化,2021,23(2):396-401.
[9] 周俊.问卷数据分析[M].北京:电子工业出版社,2020.
[10] 吴明隆.问卷统计应用实务[M].重庆:重庆大学出版社,2010.
[11] 楚尧娟,尹钊,梁艳,等.利用Delphi法和层次分析法构建医院药师核心能力的指标体系[J].中国医院药学杂志,2019,39(11):1198-1202.
[12] 江丽,何芳,刘丽娟.我院医务人员及患者对药学门诊的认知与需求现状研究[J].实用药物与临床,2019,22(9):1004-1008.
[13] 郑婷婷,邵晓楠,吴岢非,等.我国医院药学门诊现状调查及对策研究[J].中国医院,2020,24(2):5-7.
[14] 潘裕华,曾英彤,林璐,等.以药物治疗管理为核心的药学门诊的构建与应用[J].中国医院药学杂志,2020,40(1):111-116.
[15] 张佳颖,郭西芮,吴行伟,等.居民用药风险“知识-态度-行为”调查及影响因素研究[J].中国药房,2018,29(11):1445-1448.
[16] 许静,刘燕,周慧,等.药学门诊类别及规范化建设[J].安徽医药,2020,24(4):810-813.
[17] 许静,陈杰,罗子玲.“药学服务联合体”服务模式实践分析与探索[J].中国医院管理,2019,39(1):65-67.
[18] 王鸣凯.药学服务对门诊慢性阻塞性肺疾病稳定期患者用药依从性及认知程度的影响[J].中外医学研究,2020,18(34):173-175.
[19] 徐乐加,刘星菱,郑丹微,等.“互联网+”模式下的线上药学门诊服务[J].现代医院,2021,21(9):1413-1415.
[20] 黄鸣秋,韩丹,杨凡,等.药学服务模式下门诊结肠镜检查前肠道准备质量的影响因素分析[J].中国医药导报,2021,18(32):58-61.
[21] 杨丽娟,杜姗,李晓宇,等.医疗机构药学服务规范(第1部分)药学门诊[J].中国药房,2019,30(23):3174-3175,3179.
[22] 张昕怡,万青,唐宁佳,等.全国三甲医院药学门诊开设情况网上调查[J].中国药学杂志,2021,56(10):849-853.
[23] 叶淑雅,郑彩虹.妊娠期用药咨询门诊的焦点问题与思考[J].中国医院药学杂志,2021,41(11):1171-1176.
[24] 石军飞,王楠楠,霍婷,等.骨科医院药学门诊患者用药情况分析及药学门诊对疾病管理的作用探讨[J].中国医院用药评价与分析,2019,19(10):1263-1266.
[25] 邵钦丽,许巧巧,张海娜.公立医院药学服务转型与新型服务模式探讨[J].医院管理论坛,2019,36(6):8-10.
[26] 陈瑞祥.临床药学服务对门诊消化性溃疡患者根除幽门螺杆菌治疗影响的成本-效果探究[J].中国处方药,2019,17(9):48-50.
[27] 亓展,祝德秋,吴涓,等.我院药学服务模式转变及药学门诊工作成效探讨[J].中南药学,2020,18(1):143-146.
[28] 王楠,罗梦月,刘艳萍,等.天津市三甲医院患者对药学门诊的认知程度与支付意愿调查及影响因素分析[J].天津药学,2019,31(3):39-45. |
|
|
|