基于现场调研的临床药师培训基地分布及其药师配置情况分析 点击下载
| 论文标题： | 基于现场调研的临床药师培训基地分布及其药师配置情况分析 |
| 英文标题： | |
| 中文摘要： | 目的 了解我国临床药师培训基地及其药师队伍发展现状，为规范基地建设、促进医院药学高质量发展提供参考。方法对截至2023年已获批的卫生健康紧缺人才临床药师培训基地和中国医院协会临床药师培训基地发放调查表，采集基地信息、药师配置情况等数据，并组织专家开展现场调研核查数据。对基地数量、类型、分布等进行描述性统计分析，并分析基地药师配置的影响因素。结果对31个省份的297家基地进行了现场调研。基地医院中87.88%为三级甲等综合医院，65.32%分布在省会城市；东部地区基地数量最多（136家，45.79%），其次是西部地区（79家，26.60%）；各省份间基地数量、医院规模均存在较大差异。基地医院药学专业技术人员占比中位数为4.05%、临床药师配置中位数为每百床0.53人，且均以东部地区最高（0.57人，4.43%）、东北地区最低（0.45人，3.01%）。全部基地专职临床药师共3627名，其中83.68%具有临床药师培训证书，35.43%具有高级专业技术职称，78.19%具有研究生及以上学历。调研基地年培训总容量为4291人，各区域、各省份年培训容量差异较大；临床药师培训内容共涉及19个专科和1个全科/通科专业，但尚无省份具备同时开展20个专业培训的能力。多因素Logistic回归分析显示，区域对药学专业技术人员占比（≥4%）具有显著影响（P＜0.05），基地获批时间和医院规模对每百床临床药师配置（≥0.6人）具有显著影响（P＜0.05）。结论我国临床药师培训体系已基本成熟且初具规模，临床药师培训资源分布与区域人口和经济发展水平基本一致，但药学专业技术人员和临床药师配置尚未能满足国家标准和医疗需求。 |
| 英文摘要： | OBJECTIVE To clarify the current development status of clinical pharmacist training bases and the pharmacist workforce in China， and to provide evidence for standardizing base construction and promoting the high-quality development of hospital pharmacy. METHODS Questionnaires were distributed to all clinical pharmacist training bases for urgently-needed health professionals and clinical pharmacist training bases under the Chinese Hospital Association that had been approved by the end of 2023 to collect data including base profiles and pharmacist staffing conditions. Expert teams carried out field investigations to verify the collected data. Descriptive statistical analyses were conducted on the quantity， type and regional distribution of training bases， and the influencing factors of pharmacist staffing in the bases were analyzed. RESULTS Field surveys were completed covering 297 training bases across 31 provincial-level administrative regions. Among the base hospitals， 87.88% were Grade A tertiary general hospitals， and 65.32% were located in provincial capitals. The eastern region had the largest number of bases （136， accounting for 45.79%）， followed by the western region （79， 26.60%）. Great disparities existed among provinces in terms of base quantity and hospital scale. The median proportion of pharmaceutical technical personnel in base hospitals was 4.05%， and the median number of clinical pharmacists per 100 hospital beds was 0.53. Both indicators reached the highest in the eastern region （0.57， 4.43%） and the lowest in the northeastern region （0.45， 3.01%）. A total of 3 627 full-time clinical pharmacists were employed in all surveyed bases， among whom 83.68% held clinical pharmacist training certificates， 35.43% possessed senior professional titles， and 78.19% had postgraduate or higher educational background. The total annual training capacity of the surveyed bases was 4 291 trainees， with obvious differences in annual training capacity across regions and provinces. Training specialties covered 19 specialized disciplines plus one general discipline， and no province could deliver training for all 20 specialties simultaneously. Multivariate Logistic regression analysis showed that geographic region exerte d a significant impact on the proportion of pharmaceutical technical personnel （≥4%） （ P ＜0.05）， while the approval time of training bases and hospital scale had significant effects on the number of clinical pharmacists per 100 beds （≥0.6） （ P ＜0.05）. CONCLUSIONS China’s clinical pharmacist training system has basically matured and taken initial shape. The distribution of clinical pharmacist training resources is generally consistent with regional population and economic development levels. However， the allocation of pharmaceutical staff and clinical pharmacists has not yet met national standards and clinical service demands. |
| 期刊： | 2026年第37卷第13期 |
| 作者： | 黄亮；甄健存；游蠡；卞婧；卜一珊；李全志；王梓凝；叶晓芬；郑萍；杨蕊；杨珺；徐彦贵；陆进 |
| 英文作者： | HUANG Liang，ZHEN Jiancun，YOU Li，BIAN Jing， BU Yishan，LI Quanzhi，WANG Zining，YE Xiaofen，ZHENG Ping，YANG Rui，YANG Jun，XU Yangui，LU Jin |
| 关键字： | 临床药师; 培训基地; 药师配置; 现场调研 |
| KEYWORDS： | clinical pharmacist；; training base; pharmacist staffing; field research |
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