Messerli Markus, Maes Karen A, Hersberger Kurt E, Lampert Markus L
Pharmaceutical Care Research Group, University of Basel, Basel, Switzerland.
Clinical Pharmacy Division, Kantonsspital Basel-Land Bruderholz, Basel, Switzerland.
Eur J Hosp Pharm. 2016 Nov;23(6):314-319. doi: 10.1136/ejhpharm-2015-000868. Epub 2016 Feb 26.
Clinical pharmacy activities developed significantly in the last decade. The extent and organisation of these activities in Switzerland remained unknown.
To map clinical pharmacy services (CPS) provided in Swiss hospitals and to discuss their development focusing on different cultural regions and healthcare systems.
We enrolled all chief hospital pharmacists affiliated with the Swiss Society of Public Health Administration and Hospital Pharmacists (n=47) for an online survey. We asked them to describe the extent and organisation of CPS concerning patient-related, therapy-related or process-related activities, the structural organisation and the available human resources.
The survey took place from March to April 2013. It was completed by 44 chief hospital pharmacists (return rate 94%), representing the hospital landscape in Switzerland comprehensively. Thirty-three (75%) hospitals offered regular CPS and seven (16%) planned to do so. Institutions in regions without drug-dispensing physicians rather employed pharmacists assigned with clinical activities (n=20, 22% of 135.3 full-time equivalent (FTE)) than regions with partial (n=8, 7% of 35.8 FTE) or unrestricted drug dispensing by physicians (n=16, 6% of 68.1 FTE, p=0.026). Of hospitals with implemented CPS, 73% had weekly interprofessional ward rounds, and in 9.1%, clinical pharmacists daily reconciled medicines at patient discharge.
Our data show regional differences in the implementation and pattern of CPS. A significant correlation to drug dispensing by physicians in ambulatory care and human resources provided for CPS was found. While interprofessional ward rounds were performed periodically, seamless care activities by clinical pharmacists remained insufficiently established.
临床药学活动在过去十年中得到了显著发展。瑞士这些活动的范围和组织情况仍不为人所知。
梳理瑞士医院提供的临床药学服务（CPS），并围绕不同文化区域和医疗体系探讨其发展情况。
我们招募了瑞士公共卫生管理与医院药师协会的所有医院主任药师（n = 47）参与在线调查。我们要求他们描述CPS在患者相关、治疗相关或流程相关活动方面的范围和组织情况、结构组织以及可用人力资源。
调查于2013年3月至4月进行。44位医院主任药师完成了调查（回复率94%），全面代表了瑞士的医院情况。33家（75%）医院提供常规CPS，7家（16%）计划提供。在没有配药医生的地区，机构更倾向于聘用从事临床活动的药师（n = 20，占135.3全职等效人员（FTE）的22%），而在有部分（n = 8，占35.8 FTE的7%）或无限制医生配药的地区则不然（n = 16，占68.1 FTE的6%，p = 0.026）。在已实施CPS的医院中，73%每周进行跨专业病房查房，9.1%的医院临床药师在患者出院时每日核对用药情况。
我们的数据显示了CPS实施情况和模式的区域差异。发现其与门诊医疗中医生配药以及CPS提供的人力资源存在显著相关性。虽然定期进行跨专业病房查房，但临床药师的无缝护理活动仍未充分确立。
