中国药房2024，Vol.35Issue(10)：1163-1167,5.DOI:10.6039/j.issn.1001-0408.2024.10.02
全国医疗机构药物重整服务规范化开展情况的调查研究
Investigation on the standardization of medication reconciliation service in national medical institutions
摘要
Abstract
OBJECTIVE To provide a reference for the implementation and high-quality development of hospital medication reconciliation.METHODS A semi-structured questionnaire was designed to investigate the implementation of drug reconciliation services in medical institutions before and after the release of 5 standards such as Standard for Medication Reconciliation Services in Medical Institutions("standards"for short,in 2021 and 2022).Descriptive statistical analysis was conducted on the survey results.RESULTS After the promulgation of the standards,the medication reconciliation service rate of all types of medical institutions increased from 15.10%(434/2874)in 2021 to 27.84%(363/1304)in 2022.In 2022,in the 363 medical institutions providing drug reconciliation services,the median number of pharmacists involved in drug reconciliation was 6.The participation rate of pharmacists in standardized training for drug reconciliation services was 75.00%,among which the participation rate of third-class hospitals was higher,reaching 85.71%.The main stages covered by medication reconciliation services included patient admission,transfer between departments,and discharge.The main problems found in the service included repeated medication(252,69.42%),inappropriate usage and dosage(228,62.81%),drug interactions and adverse reactions(218,60.06%).Only 69 institutions(19.01%)had a separate electronic information recording system,while 48 institutions(13.22%)had established comprehensive quality management and evaluation improvement systems.In terms of value embodiment,141 institutions(38.84%)did not provide any form of compensation to relevant pharmacists."Closely linked to enhancing patient satisfaction and improving services"was the most significant experience influencing medication reconciliation work(192,52.89%),while"the shortage of talent which meet the relevant requirements"stands as the primary challenge faced by medical institutions at all levels(238,65.56%).CONCLUSIONS The release of the standards has effectively improved the development rate of medication reconciliation in national medical institutions.However,there is still room for improvement in various aspects,including the allocation of personnel for medication reconciliation services,service content,information management,and the construction of quality control and evaluation systems.关键词
药物重整/医疗机构/规范化培训/问卷Key words
medication reconciliation/medical institutions/standardized training/questionnaire分类
医药卫生引用本文复制引用
田欣,闫雪莲,梅丹,甄健存,沈群红,陆进..全国医疗机构药物重整服务规范化开展情况的调查研究[J].中国药房,2024,35(10):1163-1167,5.基金项目
中国医学科学院中央级公益性科研院所基本科研业务费项目(No.2022-RW350-01) （No.2022-RW350-01）
中央高水平医院临床科研专项(No.2022-PUMCH-A-199) （No.2022-PUMCH-A-199）
