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医疗机构配备的药学服务设施与临床药师工作绩效的关联性。

Association of the availability of pharmaceutical facilities provided in secondary and tertiary hospitals with clinical pharmacists' work performance.

机构信息

China Pharmaceutical University School of International Pharmaceutical Business, No. 639, Longmian Avenue, Jiangning District, Nanjing, Jiangsu Province, 211198, China.

出版信息

BMC Health Serv Res. 2023 Dec 6;23(1):1361. doi: 10.1186/s12913-023-10390-1.

Abstract

BACKGROUND

Clinical pharmacists always work as the pivotal role in the process of facilitating the proper use of drug. Based on the person-environment fit theory, the availability of facilities required in pharmaceutical service may influence pharmacists' performance, but which of them may have positive or negative impact remains unclear.

OBJECTIVES

This study aims to analysed the quantitative association of the availability of pharmaceutical facilities provided in Chinese hospitals and clinical pharmacists' work performance to assist hospitals formulating plans of the improving pharmaceutical working conditions to enhance clinical pharmacists' performance.

METHOD

Demonstrated by the panel of expert and literature review, the questionnaire for administrators and clinical pharmacists of secondary and tertiary hospitals in China was formed. Then a mixed sampling was adopted to gather data on information of the participants, as well as evaluation indexes of the availability of facilities and clinical pharmacists' work performance.

RESULTS

Overall, 625 questionnaires distributed to administrators of hospitals and 1219 ones distributed to clinical pharmacists were retrieved. As for the Pharmaceutical facilities, while the increased availability of Traditional Chinese medicine pharmacy (p = 0.02) has a significantly positive impact on clinical pharmacists' performance, the great availability of the preparation room (p = 0.07) negatively influences their work performance.

CONCLUSION

Improving the availability of facilities that significantly influence clinical pharmacists' work performance possibly reduce their workload, enhance their efficiency and further promote progress in pharmaceutical service.

摘要

背景

临床药师在促进药物合理使用的过程中始终发挥着关键作用。基于人与环境匹配理论,药学服务所需设施的可用性可能会影响药师的绩效,但哪些设施会产生积极或消极影响尚不清楚。

目的

本研究旨在分析中国医院提供的药学设施的可用性与临床药师工作绩效之间的定量关联,以协助医院制定改善药学工作条件的计划,从而提高临床药师的绩效。

方法

通过专家小组和文献回顾,为中国二级和三级医院的管理人员和临床药师制定了问卷。然后采用混合抽样的方式收集参与者的信息以及设施可用性和临床药师工作绩效的评估指标的数据。

结果

共向医院管理人员发放 625 份问卷,向临床药师发放 1219 份问卷。就药学设施而言,虽然中药房的可用性增加(p=0.02)对临床药师的绩效有显著的积极影响,但制剂室的高度可用性(p=0.07)对其工作绩效有负面影响。

结论

改善对临床药师工作绩效有显著影响的设施的可用性可能会降低他们的工作量,提高他们的效率,并进一步推动药学服务的发展。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/96c2/10698899/fe5aedf8741c/12913_2023_10390_Fig1_HTML.jpg

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