College of Pharmacy, Ohio State University, Columbus, OH.
Virginia Mason Medical Center, Seattle, WA.
Am J Health Syst Pharm. 2019 Jul 18;76(15):1127-1141. doi: 10.1093/ajhp/zxz102.
Results of the 2018 ASHP national survey of pharmacy practice in hospital settings pertaining to the pharmacy workforce are presented.
Pharmacy directors at 4,897 general and children's medical-surgical hospitals in the United States were surveyed using a mixed-mode method of contact by mail and email. Survey completion was online. IMS Health supplied data on hospital characteristics; the survey sample was drawn from the IMS hospital database.
The survey response rate was 16.6%. The results indicate that inpatient staffing has increased for both pharmacists and pharmacy technicians. More than half of the respondents reported shortages of pharmacy managers, experienced technicians, and experienced pharmacy technicians with sterile compounding experience. More than half of the respondents reported an excess of entry-level frontline pharmacists. The perceived shortage of pharmacists is in decline, while the perceived shortage of pharmacy technicians, especially those with years of experience, is increasing. Pharmacists commonly chair multidisciplinary committees within health systems, and pharmacy leaders often report directly to the chief executive officer or chief operating officer; they are often responsible for reporting quality information associated with medication use to the health system's board. The use of a pharmacist credentialing and privileging process beyond licensure has increased over the past 4 years. Attention is being devoted to stress in the work place and addressing burnout among healthcare professionals, including pharmacists.
The profession is fostering a workforce that is appropriate in composition, sufficient in number, and has the competence to improve the value and safety of medication use.
呈现了 2018 年 ASHP 针对医院环境中药学实践的全国调查结果，这些结果与药学劳动力有关。
通过邮件和电子邮件的混合模式联系，对美国 4897 家普通和儿童综合外科医院的药房主任进行了调查。在线完成调查。IMS Health 提供了有关医院特征的数据；调查样本取自 IMS 医院数据库。
调查的回复率为 16.6%。结果表明，药剂师和药剂技术员的住院人员配备都有所增加。超过一半的受访者报告说缺乏药剂经理、有经验的技术员以及有经验的、有无菌制剂经验的药剂技术员。超过一半的受访者报告说入门级一线药剂师过剩。人们对药剂师的短缺感正在下降，而对药剂师的短缺感，特别是对有多年经验的药剂师的短缺感正在增加。药剂师通常在医疗系统内担任多学科委员会主席，而药房领导通常直接向首席执行官或首席运营官报告；他们通常负责向医疗系统的董事会报告与药物使用相关的质量信息。在过去的 4 年中，超越许可的药剂师认证和特权程序的使用有所增加。人们越来越关注工作场所的压力，并解决医疗保健专业人员（包括药剂师）的倦怠问题。
该行业正在培养一支在组成、数量和能力方面都合适的劳动力队伍，以提高药物使用的价值和安全性。
