广东省9家“三甲”医院药师对互联网药事服务认知情况的调查分析

汪小惠　赖潇潇　段晓红　陈设　罗懿妮　王颖彦　吴俊标　林华

中圖分类号 R95；R195 文献标志码 A 文章编号 1001-0408（2018）02-0159-05

DOI 10.6039/j.issn.1001-0408.2018.02.04

摘 要 目的：为医院药师更好地开展互联网药事服务提供参考。方法：就广东省内9家“三甲”医院的药师对互联网药事服务的认知情况进行问卷调查，并对调查数据进行统计和分析。结果：共发放问卷600份，回收问卷527份，问卷回收率为87.8%；其中有效问卷499份，回收问卷有效率为94.7%。受访药师在对互联网药事服务的内容的认知情况方面选择比例最高的是用药咨询（94.4%）和用药教育（91.6%）；认为互联网药事服务值得或非常值得推广的比例占93.0%，对互联网药事服务最关心的问题是专业技术问题（58.5%）和法律责任问题（55.9%）。受访药师中认为完全可以或可能可以胜任互联网药事服务工作的占57.1%，认为未接触尚不清楚的占37.9%；认为提供互联网药事服务的药学人员最重要的资质是药师职称等级（67.9%）和工作年限（67.7%）；认为确保互联网药事服务质量最有效的措施是经常进行药事服务培训（74.3%）和按比例抽查药事服务咨询回复质量（67.5%）。结论：互联网药事服务可成为“新医改”背景下药事服务发展的新方向，而互联网药事服务的开展需要完善的法律法规和具备较高专业水平的药师队伍来提供支持。

关键词 医院药师；互联网药事服务；认知；调查

ABSTRACT OBJECTIVE： To provide reference for the better development of internet pharmaceutical service of hospital pharmacists. METHODS： The questionnaire investigation was carried out on the cognition of pharmacists to internet pharmaceutical service in 9 third grade class A hospitals. The survey data were analyzed statistically. RESULTS： A total of 600 questionnaires were distributed and 527 questionnaires were collected with recovery rate of 87.8%. Among them， there were 499 valid questionnaires with effective rate of 94.7%. The most selected internet pharmaceutical service contents were medication consultation （94.4%） and medication education （91.6%）. 93.0% considered that internet pharmaceutical service were worthy or very worthy of promotion. The most concerned issues about internet pharmaceutical service were technical problems （58.5%） and legal liability （55.9%）. 57.1% of the surveyed pharmacists considered that they were totally or possibly capable of performing internet pharmaceutical care； 37.9% didnt get in touch with internet pharmaceutical care and were not clear about it. The most important qualifications of pharmacists who provided internet pharmaceutical service were rank of pharmacists title （67.9%） and working experience （67.7%）. It was considered that the most effective measures to ensure the quality of internet pharmaceutical care were regular pharmaceutical service training （74.3%） and proportionally sampling the quality of pharmaceutical service consultation （67.5%）. CONCLUSIONS： Internet pharmaceutical service may become a new direction of the development of pharmaceutical service under new medical reform. The development of internet pharmaceutical service requires perfect laws and regulations， and pharmacist team with high professional level.

KEYWORDS Hospital pharmacist； Internet pharmaceutical care； Cognition； Survey

医师和药师在医疗过程中的处方、审方、调剂和用药管理等行为构成了药事服务的主要内容[1]，这是对传统药事服务（即药学服务）的定义。随着药学学科的发展，判断式药学服务、团队式药学服务、药物治疗管理模式药学服务、全程化药学服务等新型的药事服务模式也相继产生[2-4]。……