Sydney Pharmacy School, Faculty of Medicine and Health, The University of Sydney, NSW, Australia; Department of Clinical Pharmacy, Hanoi University of Pharmacy, Hanoi, Vietnam.
Sydney Pharmacy School, Faculty of Medicine and Health, The University of Sydney, NSW, Australia; St Vincent's Clinical School, University of New South Wales, NSW, Australia.
Res Social Adm Pharm. 2020 Nov;16(11):1535-1541. doi: 10.1016/j.sapharm.2020.06.016. Epub 2020 Jun 20.
In resource-limited settings, it is particularly important to explore the priorities for, as well as barriers to, development of health services. There has been limited development of medicines information (MI) services in Vietnam despite national guidelines.
To explore the current status of MI services for healthcare professionals and patients in Vietnamese hospitals.
In 2018, all hospitals which were under the direct administration of the Ministry of Health and all 63 Provincial Health Bureaus were invited to participate (n = 1359). All national, provincial and district hospitals, as well as private hospitals and hospitals from other Ministries in Vietnam, were included. An online questionnaire about MI facilities, workforce, and activities was used.
There were 560 eligible responses from pharmacists in hospitals. The most common MI service was pharmacovigilance (provided in 91% of hospitals), and the least common was providing MI for clinical case management (30%), nurse training (31%), and MI provision to patients (27%). Multivariate logistic regression analysis showed that the number of pharmacists and the geographical-economical area where hospitals were based had the strongest impact on the likelihood of offering more MI services in hospitals. While the type of hospital (traditional medicine vs. other hospitals) had some impact, hospital size, level, and specialization of hospital (general vs. specialized) did not have a significant impact on the provision of MI services.
The differences in workforce and location may contribute to differences in MI practices between hospitals. These findings are relevant for the implementation of a national MI strategy in Vietnam and other developing countries.
在资源有限的情况下，探索医疗服务发展的重点和障碍尤为重要。尽管越南有国家指南，但药品信息（MI）服务的发展有限。
探索越南医院中医疗专业人员和患者的 MI 服务现状。
2018 年，邀请所有隶属于卫生部直接管理的医院和所有 63 个省级卫生局参加（n=1359）。包括全国、省级和地区医院，以及越南的私立医院和其他部委的医院。使用了一份关于 MI 设施、劳动力和活动的在线问卷。
来自医院药剂师的 560 份有效回复。最常见的 MI 服务是药物警戒（91%的医院提供），而最不常见的是为临床病例管理（30%）、护士培训（31%）和向患者提供 MI（27%）提供 MI。多变量逻辑回归分析表明，药剂师人数和医院所在的地理位置对医院提供更多 MI 服务的可能性有最强的影响。虽然医院类型（传统医学与其他医院）有一定影响，但医院规模、级别和专业化（综合与专科）对 MI 服务的提供没有显著影响。
劳动力和地点的差异可能导致医院之间的 MI 实践存在差异。这些发现与越南和其他发展中国家实施国家 MI 战略相关。
