陕西省药学人力资源服务质量测量研究

发布时间：2018-03-24 18:17

本文选题：药学　切入点：人力资源　出处：《宁夏医科大学》2017年硕士论文

【摘要】：背景:随着现代药学模式的转变,公众对临床用药水平和药学服务质量提出了更高的要求。为此,建立以“患者为中心”的药学服务模式,开展以合理用药为核心的临床药学工作,提供渗透于整个医疗卫生保健过程中的药学服务,是现代医学模式的必然要求,也是现代药学的发展方向。目的:本研究在调查分析陕西省药学人力资源现状的基础上,对药学人力资源服务质量进行测量研究,为优化医疗机构药学人力资源结构,提高药学服务质量,提出相应的对策建议。方法:临床工作者和药学人员的样本取自陕北榆林市、关中西安市和咸阳市、陕南汉中市等多家样本机构共450名工作人员,迷你临床演练的样本选取29名药学工作人员,并在陕西省7个地区选取居民样本441名。采用文献复习和描述性统计分析方法,测量药学人员的专业知识技能水平测试得分基本情况、临床用药指导情况,处方合理用药情况。结果:1.药学人员专业知识技能水平测量情况:本次测试包含50道题目,涉及药品的储存与保管、药品管理的特殊性、药品的不良反应等多个方面。总体来看,本次测试的正确率并不理想。不同性别、学历、职称、岗位的得分情况不同。2.临床用药指导测量情况:工龄15年以上的工作者对处方“四查十对”工作、不合理处方审核的工作、用法用量交代的工作、药学面谈技能等方面的各部分得分都明显高于15年以下的工作者,说明工作经验丰富员工工作更熟练。3.处方合理用药测量情况:不合理处方现象严重,药师受重视程度低,以及没有足够的审方权,一定程度上影响着合理用药的水平。建议:1.增加临床药师配备,提高临床药师的数量和质量2.加大药学生培养力度,优化药学人才资源知识结构3.提高对药师的重视程度,给予药师相应的审方权4.医院提高对用药咨询服务的费用支持,建立相关的药学咨询服务信息化平台5.加强对药学工作人员临床知识的定期或不定期培训6.规范处方,加快处方信息化建设步伐
[Abstract]:Background: with the change of modern pharmaceutical model, the public has put forward higher demands on the level of clinical drug use and the quality of pharmaceutical service. Therefore, a "patient-centered" pharmaceutical service model has been established. It is an inevitable requirement of modern medical model to carry out clinical pharmaceutical work with rational drug use as the core and to provide pharmaceutical services that permeate the whole process of medical care. Objective: based on the investigation and analysis of the present situation of pharmaceutical human resources in Shaanxi Province, the quality of pharmaceutical human resources service was measured and studied in order to optimize the structure of pharmaceutical human resources in medical institutions. Methods: the samples of clinical workers and pharmacists were collected from several sample organizations, such as Yulin City, Guanzhong Xi'an City and Xianyang City, and Hanzhong City, South Shaanxi Province. A sample of 29 pharmaceutical workers was selected from the mini clinical exercise and 441 from 7 regions of Shaanxi Province. Literature review and descriptive statistical analysis were used. Measurement of the professional knowledge and skill level of pharmaceutical personnel: basic score, clinical medication guidance, prescription rational use of drugs. Results: 1. Measurement of professional knowledge and skill level of pharmaceutical personnel: this test includes 50 questions, It involves the storage and custody of drugs, the particularity of drug management, the adverse reactions of drugs, etc. In general, the correct rate of this test is not ideal. The scores of posts are different .2.The measurement of clinical drug use guidance: the workers who have worked for more than 15 years have a job of "four checks and ten pairs" of prescriptions, the work of reviewing unreasonable prescriptions, and the work of explaining the usage of prescriptions. The scores of pharmaceutical interview skills were significantly higher than those of workers less than 15 years, indicating that the workers with rich working experience were more skillful in their work. 3.The rational prescription drug use measurement: unreasonable prescription phenomenon was serious, and pharmacists were less valued. And there is not enough power to review the prescription, which to some extent affects the level of rational use of drugs. It is suggested that: 1. Increase the availability of clinical pharmacists, improve the quantity and quality of clinical pharmacists, and increase the training of drug students. Optimizing the knowledge structure of Pharmacy Talent Resources 3.To improve the degree of attention to pharmacists and give the pharmacists the right to examine the prescriptions. 4. The hospitals should increase the cost support for drug use consulting services. 5. Strengthen the regular or irregular training on the clinical knowledge of pharmaceutical workers. 6. Standardize prescriptions and speed up the construction of prescription informatization
【学位授予单位】：宁夏医科大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R95

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