中国药房2026，Vol.37Issue(3)：371-376,6.DOI:10.6039/j.issn.1001-0408.2026.03.17
中国药物相关问题分类系统的构建及评价
Development and evaluation of classification system for drug-related problems in China
摘要
Abstract
OBJECTIVE To establish a Chinese drug-related problem(DRP)classification system applicable to pharmacist-led pharmaceutical care in China,providing pharmacists with an effective and practical tool for pharmaceutical care.METHODS A multi-stage process was employed to construct the DRP classification system,including literature review and analysis,comparison of existing classification systems,refinement of classification items and framework development,two rounds of standard case validation,expert discussion,and system revision.The Fleiss' kappa test was used to calculate the consistency coefficient κ,assessing the reliability of pharmacists participating in evaluating the classification system.An electronic questionnaire comprising six items was employed to evaluate the system's applicability.RESULTS The constructed Chinese DRP classification system comprised six sections[problem(including potential problems),DRP evaluation,cause(including possible causes of potential problems),intervention,acceptance of intervention and DRP status],with 24 primary codes and 96 secondary codes.In the first round of case validation,κ values exceeded 0.4 for all sections except"intervention"and"DRP status".In the second round,κ values exceeded 0.4 for all sections.In the applicability evaluation of the classification system,positive ratings("strongly agree"or"agree")exceeded 85%for all items.Specifically,positive ratings for"the classification system can provide appropriate category selection","the classification system is comprehensive","the classification system is convenient to use"and"the classification system is highly satisfactory"exceeded 92%.CONCLUSIONS The Chinese DRP classification system developed demonstrates both high reliability and applicability,providing an effective and practical classification tool for pharmacists in China to conduct pharmaceutical care.关键词
分类系统/药物相关问题/药学监护/可信度/适用性Key words
classification system/drug-related problem/pharmaceutical care/reliability/applicability分类
医药卫生引用本文复制引用
邹双,陆婷婷,鲍磊,廖赟,李玲,张萍..中国药物相关问题分类系统的构建及评价[J].中国药房,2026,37(3):371-376,6.基金项目
上海市卫生健康系统重点学科-临床药学项目(No.2024ZDXK0058) （No.2024ZDXK0058）
