Cotter S M, Barber N D, McKee M
Department of Public Health and Policy, London School of Hygiene and Tropical Medicine, U.K.
Am J Hosp Pharm. 1994 Nov 1;51(21):2676-84.
The extent to which clinical pharmacy services are provided in National Health Service (NHS) hospitals in the United Kingdom was studied by means of a questionnaire. Questionnaires inquiring whether and to what extent certain clinical pharmacy services were provided were mailed to all NHS hospital pharmacies in 1992. The questionnaires also requested information about the hospital and the number and qualifications of pharmacists employed. The results were compared with those of a survey of pharmaceutical services in the United States. Of 508 questionnaires mailed, 416 usable responses were returned. Services commonly provided were inpatient drug therapy monitoring (96%), clinical trials support (92%), formulary management (89%), participation in drug and therapeutic committees (97%), and an on-site drug information center (60%). Services infrequently provided were therapeutic drug monitoring (21%), medication history-taking (16%), and a 24-hour on-site pharmacist (10%). Several services were associated with pharmacies that employed many pharmacists, pharmacists with advanced education, or specialist clinical pharmacists and pharmacies located in medical school teaching hospitals. U.K. hospital pharmacies provided fewer patient-oriented services and more drug information, therapy monitoring, and pharmacist education services than U.S. hospital pharmacies. Provision of clinical pharmacy services in the United Kingdom was associated with employment of many pharmacists, pharmacy clinical specialists, and pharmacists with advanced education.
通过问卷调查的方式，对英国国民医疗服务体系（NHS）医院提供临床药学服务的程度进行了研究。1992年，询问是否提供以及在何种程度上提供某些临床药学服务的问卷被邮寄给了所有NHS医院药房。问卷还要求提供有关医院以及所雇佣药剂师的数量和资质的信息。研究结果与美国一项药学服务调查的结果进行了比较。在邮寄的508份问卷中，共收到416份有效回复。常见提供的服务包括住院患者药物治疗监测（96%）、临床试验支持（92%）、处方集管理（89%）、参与药物和治疗委员会（97%）以及设立现场药物信息中心（60%）。很少提供的服务包括治疗药物监测（21%）、用药史采集（16%）以及配备24小时现场药剂师（10%）。有几项服务与雇佣许多药剂师、拥有高等学历的药剂师或专科临床药剂师的药房以及医学院教学医院中的药房相关。与美国医院药房相比，英国医院药房提供的以患者为导向的服务较少，而药物信息、治疗监测和药剂师教育服务较多。在英国，临床药学服务的提供与雇佣许多药剂师、药房临床专家以及拥有高等学历的药剂师有关。
