Pedersen Craig A, Naseman Ryan W, Schneider Philip J, Ganio Michael C, Scheckelhoff Douglas J
Virginia Mason Franciscan Health, Seattle, WA, and University of Washington, Seattle, WA, USA.
Department of Pharmacy Services, University of Kentucky Healthcare, Lexington, KY, and Department of Pharmacy Practice and Science, University of Kentucky College of Pharmacy, Lexington, KY, USA.
Am J Health Syst Pharm. 2025 Sep 9;82(18):979-1005. doi: 10.1093/ajhp/zxaf150.
Results of the 2024 ASHP National Survey of Pharmacy Practice in Hospital Settings are presented.
Pharmacy directors at 1,497 general and children's medical-surgical hospitals in the United States were surveyed using a mixed-mode method of contact by email and mail. Survey completion was online using Qualtrics. IQVIA supplied data on hospital characteristics; the survey sample was drawn from IQVIA's hospital database.
The response rate was 16.7%. Pharmacists routinely provide clinical pharmacy services to a majority of inpatients in over 75% of hospitals and are most commonly assigned to general medical-surgical (73.3%), critical care (68.5%), oncology (56.9%), cardiology (48.5%), infectious disease/antimicrobial stewardship (48.1%) units and the emergency department (46.5%). Pharmacists independently prescribe in 18.5% of hospitals. Progress towards the ASHP Practice Advancement Initiative (PAI) 2030 goals has been mixed; except for technicians performing more advanced roles, measures have remained relatively stable over the past 5 years. Over 80% of pharmacy directors reported perceived shortages of experienced technicians, and about 60% reported perceived shortages of clinical specialists and clinical coordinators.
Hospital pharmacy departments are facing many challenges, including worsening shortages of pharmacists and pharmacy technicians, drug shortages, reimbursement and formulary concerns, and regulatory compliance. Despite these challenges, inpatient and ambulatory care clinical pharmacy services continue to expand across the country, with most hospitals routinely providing care to a majority of patients in over three-quarters of hospitals. While progress toward other PAI 2030 focused initiatives has been mixed over the past 5 years, responsibilities of pharmacy technicians are trending toward advanced roles.
呈现2024年美国卫生系统药师协会（ASHP）医院药学实践全国性调查结果。
采用电子邮件和邮寄相结合的混合联系方式，对美国1497家综合及儿童内科 - 外科医院的药房主任进行调查。调查通过Qualtrics在线完成。IQVIA提供医院特征数据；调查样本取自IQVIA的医院数据库。
回复率为16.7%。在超过75%的医院中，药师常规为大多数住院患者提供临床药学服务，最常被分配到普通内科 - 外科（73.3%）、重症监护（68.5%）、肿瘤（56.9%）、心脏科（48.5%）、传染病/抗菌药物管理（48.1%）科室以及急诊科（46.5%）。在18.5%的医院中，药师可独立开处方。在实现ASHP实践推进倡议（PAI）2030目标方面进展不一；除了技术人员承担更高级职责外，过去5年各项指标相对稳定。超过80%的药房主任表示感觉到经验丰富的技术人员短缺，约60%表示感觉到临床专家和临床协调员短缺。
医院药房部门面临诸多挑战，包括药师和药房技术人员短缺加剧、药品短缺、报销和处方集问题以及法规合规等。尽管存在这些挑战，但住院和门诊临床药学服务在全国仍在持续扩展，超过四分之三的医院中，大多数医院常规为大多数患者提供服务。虽然过去5年在其他PAI 2030重点倡议方面进展不一，但药房技术人员的职责正朝着高级角色发展。
