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从医师视角探讨药师临床服务需求导向培训

Exploring the training of pharmacists oriented to the demands for clinical pharmacy services: from the perspective of physicians.

机构信息

National Medical Products Administration Key Laboratory for Drug Regulatory Innovation and Evaluation, China Pharmaceutical University, No.639 Longmian Avenue, Jiangning District, Nanjing, Jiangsu Province, China.

出版信息

BMC Med Educ. 2023 May 22;23(1):357. doi: 10.1186/s12909-023-04353-7.

Abstract

BACKGROUND

To evaluate physicians' perceptions, experiences and expectations of clinical pharmacists in China from the perspective of physicians' demands, to improve the training of pharmacists.

METHODS

A cross-sectional survey involving physicians (except for primary physicians) was conducted from July to August 2019 in China. Using a field questionnaire, this study gathered data on descriptive information about the respondents and their perceptions, experiences and expectations of clinical pharmacists. Data were analysed descriptively using frequencies, percentages and mean. Several subgroup analyses using Chi-square tests were conducted to identify physicians' demands for clinical pharmacists in China.

RESULTS

A total of 1376 physicians from secondary and tertiary hospitals in China (response rate = 92%) participated. The majority of the respondents were comfortable with clinical pharmacists providing education to patients (59.09%) and detecting and preventing prescription errors (60.17%), but they appeared uncomfortable when asked about clinical pharmacists suggesting the use of prescription medications to patients (15.71%). Most respondents agreed that clinical pharmacists are a reliable source of general drug information (81.84%) instead of clinical drug information (79.58%). The majority of the respondents expected clinical pharmacists to be knowledgeable drug therapy experts (95.56%) and to educate their patients about the safe and appropriate use of medications (95.56%).

CONCLUSION

Physicians' perceptions and experiences were positively associated with the frequency of their interaction with clinical pharmacists. They had high expectations of clinical pharmacists as knowledgeable drug therapy experts. Corresponding policies and measures are needed to improve the education and training system of clinical pharmacists in China.

摘要

背景

从医生需求的角度评估中国医生对临床药师的看法、经验和期望,以改进药师培训。

方法

2019 年 7 月至 8 月在中国进行了一项横断面调查,涉及医生(初级医生除外)。采用现场问卷收集受访者的描述性信息以及他们对临床药师的看法、经验和期望。使用频率、百分比和平均值进行描述性数据分析。使用卡方检验进行了几个亚组分析,以确定中国医生对临床药师的需求。

结果

共有来自中国二级和三级医院的 1376 名医生参与了这项研究(应答率为 92%)。大多数受访者对临床药师为患者提供教育(59.09%)和检测和预防处方错误(60.17%)感到满意,但当被问及临床药师向患者建议使用处方药物时,他们似乎感到不舒服(15.71%)。大多数受访者认为临床药师是一般药物信息(81.84%)而不是临床药物信息(79.58%)的可靠来源。大多数受访者希望临床药师成为知识渊博的药物治疗专家(95.56%)并教育患者安全和适当使用药物(95.56%)。

结论

医生的看法和经验与他们与临床药师互动的频率呈正相关。他们对临床药师作为知识渊博的药物治疗专家寄予厚望。需要相应的政策和措施来改善中国临床药师的教育和培训体系。

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