中国医院用药评价与分析2025，Vol.25Issue(11)：1307-1311,5.DOI:10.14009/j.issn.1672-2124.2025.11.006
基于多中心问卷数据的我国妇幼保健机构药学管理现状调查
Pharmaceutical Management in Chinese Maternal and Child Healthcare Institutions:A Multi-Center Questionnaire-Based Study
摘要
Abstract
OBJECTIVE:To investigate the current status of pharmaceutical management and services in maternal and child healthcare institutions in China,analyze key challenges,and explore strategies for high-quality development of pharmacy for maternal and child healthcare.METHODS:A cross-sectional survey was conducted among 28 maternal and child healthcare institutions across different tiers in China from Apr.1st to 15th,2025.The questionnaire covered pharmaceutical utilization and management,staffing,disciplinary development,pharmaceutical services,and development recommendations.RESULTS:Significant disparities were observed among the 28 institutions:wide variations in drug categories and annual procurement expenditures;89.3％(25 institutions)implementation rate of antimicrobial stewardship reviews and interventions,but high antimicrobial usage in pediatric inpatients.Among the 28 institutions,the proportion of pharmacists among all medical technicians in the hospital was only 3.6％,and there was a shortage of pharmacists with high academic qualifications(Master's degree or above)and specialty.The establishment rate of pharmacy clinics was 57.1％(16 institutions),while the popularization of therapeutic drug monitoring,pharmacogenomics and centralized intravenous drug dispensing was insufficient.The main challenges faced by maternal and child pharmacy were the shortage/loss of professional personnel,low recognition of value of clinical pharmacists'work and difficulties in charging,as well as insufficient support from information systems.Future priorities focused on individualized medication,smart pharmacy systems,and multi-disciplinary diagnosis and treatment for clinical pharmacists.CONCLUSIONS:While foundational pharmaceutical services in maternal and child healthcare institutions are relatively well-established,regional disparities persist.Strategies such as strengthening talent development,optimizing service reimbursement,enhancing research innovation,advancing information technology,addressing the special needs of maternal and child populations are critical to promote transformative upgrades in service models.关键词
妇幼药学/横断面研究/临床药师/药学服务/高质量发展Key words
Pharmacy for maternal and child healthcare/Cross-sectional study/Clinical pharmacists/Pharmaceutical services/High quality development分类
医药卫生引用本文复制引用
封学伟,李轶凡,余馨,冯欣..基于多中心问卷数据的我国妇幼保健机构药学管理现状调查[J].中国医院用药评价与分析,2025,25(11):1307-1311,5.基金项目
首都卫生发展专项(No.首发2024-2-2115) （No.首发2024-2-2115）
