Klinik-Apotheke, Klinikum rechts der Isar der Technischen Universität München, München, Germany
Klinik für Frauenheilkunde, Klinikum rechts der Isar der Technischen Universität München, München, Germany.
Eur J Hosp Pharm. 2021 Nov;28(6):301-305. doi: 10.1136/ejhpharm-2019-001973. Epub 2019 Aug 23.
Clinical pharmacy services in German hospitals appear to be underdeveloped compared with other European countries. However, recent developments have increased the interest in expanding these services. Detailed data about the current state of clinical pharmacy services in Germany are lacking. This survey establishes the current level of pharmacy services in Germany and the barriers to implementation.
An online survey conducted in 2017 was distributed to directors of all 389 German hospital pharmacies. The survey contained 26 questions addressing hospital and pharmacy characteristics, clinical pharmacy services provided, the number of clinical pharmacists and the frequency as well as the quality assurance of these services.
There were 133 responses (34%). Of these, 84 (63%) pharmacies provided some form of clinical pharmacy services. Based on the 389 contacted pharmacies, a clinical pharmacy service is available in at least 22% of hospital pharmacies in Germany. On average there are 2.4 full-time equivalent (FTE) clinical pharmacists per hospital employed, although there is a wide variation in numbers (0.3-22 FTE) and service provision between hospitals. Clinical pharmacy services are generally provided on a daily or weekly basis, with a principal focus on general surgery, critical care and general medicine wards.
This is the first survey providing a detailed picture of clinical pharmacy services in Germany. There is wide variation in clinical service provision among hospitals, with some hospitals having developed a comprehensive range of clinical services. Compared with other countries, particularly the UK where the focus has shifted to provision of 7-day clinical services, the gap in clinical pharmacy services remains large. The focus should be turned to refining clinical pharmacy services in hospital admissions and discharge planning while also improving Health IT, the opportunities for specialisation and aligning education in accordance with the EAHP common training framework.
与其他欧洲国家相比，德国医院的临床药学服务似乎不够发达。然而，最近的发展增加了人们对扩大这些服务的兴趣。目前德国临床药学服务的详细数据尚不清楚。本调查旨在了解德国临床药学服务的现状及实施障碍。
2017 年进行了一项在线调查，向德国所有 389 家医院药房的负责人分发了问卷。该调查共包含 26 个问题，涉及医院和药房的特征、提供的临床药学服务、临床药师的数量以及这些服务的频率和质量保证。
共收到 133 份回复（34%）。其中 84 家（63%）药房提供了某种形式的临床药学服务。基于联系的 389 家药房，德国至少有 22%的医院药房提供临床药学服务。平均每家医院有 2.4 名全职等效（FTE）临床药师，尽管医院之间的数量（0.3-22 FTE）和服务提供存在很大差异。临床药学服务通常每天或每周提供，主要集中在普通外科、重症监护和普通内科病房。
这是首次对德国临床药学服务进行的详细调查。医院之间的临床服务提供存在广泛差异，一些医院已经开发了全面的临床服务。与其他国家相比，特别是英国，其重点已转向提供 7 天临床服务，临床药学服务的差距仍然很大。应将重点转向完善医院入院和出院规划中的临床药学服务，同时改善卫生信息技术、专业化机会，并根据 EAHP 共同培训框架调整教育。
