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目的:了解湖北省二级以上医院临床药师近年开展临床药学服务的基本情况。方法:采取问卷式调查方法对湖北省99家二级以上医院临床药师的工作现状进行调查。结果:被调查的医院92.9%配备了专职临床药师,但每家多为1～2名。三级医院配备临床药师人员明显高于二级医院。临床药学服务覆盖范围有限,60.6%的医院仅能在少数几个临床科室内开展。在开展的药学服务项目中,以处方点评(86.9%)、药师参与查房(80.8%)、药物信息服务(77.8%)和药品不良反应(ADR)监测居多。结论:临床药学服务工作取得了一定的进展,但在人才队伍、服务水平、自身能力和医院管理等方面仍有许多有待改进之处。
OBJECTIVE: To understand the basic situation of clinical pharmacy service carried out by clinical pharmacists in secondary hospitals in Hubei province in recent years. Methods: A questionnaire survey was carried out to investigate the current status of clinical pharmacists in 99 secondary or higher hospitals in Hubei Province. Results: 92.9% of the investigated hospitals were equipped with full-time clinical pharmacists, but each one was mostly 1 or 2. Third-level hospitals with clinical pharmacists staff was significantly higher than the two hospitals. Clinical pharmacy service coverage is limited, 60.6% of hospitals can only be carried out in a few clinical departments. Of the pharmacy service programs conducted, most of them were monitored by prescriptions (86.9%), pharmacists participating in rounds (80.8%), drug information services (77.8%) and adverse drug reactions (ADRs). Conclusion: Some progresses have been made in the clinical pharmacy service, but there are still many areas for improvement in terms of personnel, service level, self-capability and hospital management.