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目的探讨山区综合性医院开展临床药学服务的内容、形式和效果,从而提高医院合理用药水平,提高医疗质量,减少医患纠纷和医药资源浪费。方法通过对我院临床药学工作的回顾总结,结合山区综合性医院的实际情况,提出开展临床药学工作的思路方法,具体措施为:开展药物咨询、药品不良反应(ADR)的监测报告、处方点评、出版《药讯》、药师下临床等。将有药师下临床的科室(研究组,300例)与没有药师下临床的科室(对照组,300例)进行对比,对用药治疗效果、医药费用、患者满意度等相关数据进行记录、分析、统计。结果通过一系列措施,提高了临床的合理用药水平和药学人员的素质。治疗效果上,研究组有效率要明显高于对照组(P<0.05);用药费用上,研究组相对于对照组要偏低;药品不良反应(ADR)率研究组要明显低于对照组(P<0.01);患者满意度研究组要显著高于对照组(P<0.05)。结论开展临床药学服务取得较好成效,是未来医院发展的需要,应该大力开展下去。
Objective To explore the contents, forms and effects of clinical pharmacy services in mountainous general hospitals so as to improve the rational use of medicine in hospitals, improve the medical quality, reduce the disputes between doctors and patients and waste medical resources. Methods By reviewing the clinical pharmacy work in our hospital and combining with the actual conditions of the general hospitals in mountainous areas, the author puts forward some ideas and methods for carrying out clinical pharmacy work. The specific measures are as follows: to carry out drug counseling, monitoring reports of adverse drug reaction (ADR) , Published “Medicine News”, pharmacists and other clinical. The pharmacist’s clinical departments (study group, 300 cases) were compared with the departments without clinical pharmacists (control group, 300 cases) to record and analyze the relevant data such as drug treatment effect, medical expenses and patient satisfaction, statistics. Results through a series of measures to improve the clinical rational use of medicine and the quality of pharmaceutical personnel. The treatment effect was significantly higher in the study group than in the control group (P <0.05); in the cost of medication, the research group was lower than the control group; the ADR rate in the study group was significantly lower than that in the control group P <0.01). Patients in the satisfaction group were significantly higher than those in the control group (P <0.05). Conclusion Achieving good results in clinical pharmacy services is the need of future hospital development and should be carried out vigorously.