| 上海市崇明区家庭医生团队对社区药学照护的认知和障碍分析 |
| 投稿时间：2021-04-19 修订日期：2021-06-07 点此下载全文 |
| 引用本文：施利波,朱田柱,沈美,王忠壮.上海市崇明区家庭医生团队对社区药学照护的认知和障碍分析[J].药学实践杂志,2021,39(6):577~580 |
| 摘要点击次数: 838 |
| 全文下载次数: 597 |
|
| 基金项目:上海市崇明区科学技术委员会科技项目（2019—2021） |
|
| 中文摘要:目的 评估上海市崇明区家庭医生团队对药师加入提供社区药学服务（community pharmaceutical care，CPC）的认知，并分析其中的障碍，为创建适宜郊区特点的CPC管理模式提供依据。方法 本研究在2020年7月进行的一项横断面研究中，通过微信工作群转发的方式向崇明区18家乡镇的家庭医生团队提供了一份在线填写的问卷。问卷收集整理后，使用描述性统计方法对家庭医生团队成员对CPC的认知、态度和障碍数据进行分析。结果 在参与研究的555名被调查者中，女性351人(63.24%），全科医生187人（33.69%），护士226人（40.72%），公卫医师142人（25.59%）。家庭医生团队三类成员在对 CPC 认知上的调查结果差异均有统计学意义（P<0.05）。有126名（51.22%）护士和84名（68.85%）公卫医师“未听过”CPC，11.48%的公卫医师和23.58%的护士对于社区药师的工作内容和职责了解，而全科医生相对较多，占比34.76%。有34.22%全科医生对“CPC可以改善病人的药效”持有“不同意的态度”。“卫健部门的投资不足”和“社区药师人员不足”是CPC开展的主要障碍。结论 崇明地区家庭医生团队对CPC的态度是保守的，公卫医生和护士对CPC的认识很低。由于财政投入和人力的不足限制了CPC的发展。 |
| 中文关键词:家庭医生团队 社区药学服务 认知 态度 社区药师 |
| |
| Analysis of cognition, attitude and barriers to community pharmaceutical care among family doctor team members in Shanghai suburb |
|
|
| Abstract:Objective To evaluate the cognition, attitude, and barriers of family doctor team members in chongming district of Shanghai to pharmacists joining the team and providing community pharmaceutical care. To provide the reference resources for the establishment of community pharmaceutical care management mode with appropriate suburban characteristics. Methods In a cross-section study conducted in 2020, an online questionnaire was provided to family doctor teams in 18 townships in Chongming District through group WeChat. Descriptive statistical data were used to analyze the cognition, attitude and barrier of family physician team members to community pharmaceutical care. Results Among the 555 participants in the study, 351 (63.24%) were female, 187 general practitioners (33.69%), 226 nurses (40.72%), and 142 public health physicians (25.59%). There were statistically significant differences in CPC cognition among the three classes of family doctor team members (P<0.05). 126 nurses (51.22%) and 84 public health physicians (68.85%) claimed never heard of CPC. 11.48% public health physicians and 23.58% nurses were familiar with the work content and responsibilities of community clinical pharmacists. General practitioners showed relatively high proportion of 34.76%. 34.22% of general practitioners held a "disagree attitude" against that "community pharmaceutical care can improve the medication efficacy for patients". "Insufficient investment in the health sector" and "insufficient community pharmacists" were the main obstacles to the development of community pharmaceutical care. Conclusion The attitude of family doctors in Chongming area to community pharmaceutical care was conservative. Public healthcare persons and nurses had a low awareness to community pharmaceutical care. The development of community pharmaceutical care was limited by the lack of financial investment and manpower. |
| keywords:family doctor team community pharmaceutical care cognitive attitude community pharmacists |
| 查看全文 查看/发表评论 下载PDF阅读器 |
|
| 关闭 |
