摘要
目的:了解目前上海居民对社区卫生服务机构药学服务的态度和需求,为主管部门和基层医疗卫生机构提供参考。方法:采用问卷和访谈相结合的方法,对上海市静安区、长宁区、黄浦区、松江区等9个行政区内的19个社区的居民进行调查,并就调查结果进行统计和分析。结果:共发放664份问卷,回收658份有效问卷,有效回收率为99.1%;共访谈19人次。547名(83.2%)受访者对于社区药学服务满意;573名(87.1%)受访者清楚所提供有关药物方面的知识;364名(55.4%)受访者认为药学服务帮助一般;受访者希望增加更多的社区药学服务内容。128名(19.5%)受访者已签订家庭医生制服务契约,未签约的受访者中有331名(62.4%)表示愿意或可以考虑签订家庭医生制服务契约。受访者认为社区药学服务的优势是便捷和用药指导及时;不足是服务水平参差不齐,药品品种不全、数量不够。结论:上海社区药学服务质量需要提升,服务仍需多样化,且家庭医生制服务未广泛普及。建议均衡提高社区卫生服务机构医务人员业务素质和服务能力;改善社区卫生服务机构药品配备种类,优化药品配送方式;细化社区药学服务内容,注重服务对象的特殊性;丰富家庭医生制服务中的药学服务内容,增强家庭卫生服务作用。
OBJECTIVE： To comprehend resident＇ s attitude and demand toward pharmaceutical care offered by community health care institutions in Shanghai community, and to provide reference for competent department and primary health care institutions. METHODS： By conducting questionnaires survey and interviews, the residents in 19 communities from 9 districts including Jing＇ an district, Changning district, Huangpu district and Songjiang district were involved, and results of investigation were analyzed statistically. RESULTS： 664 questionnaires had been distributed and 658 questionnaires had been retrieved. The valid recovery rate was 99.1% ; 19 persons had been interviewed. 547 respondents （83.2%） were satisfied with community pharmaceutical care; 573 respondents （87.1%） could understand the pharmaceutical knowledge in the health care; 364 respondents （55.4%） thought pharmaceutical care didn＇t help them a lot; respondents wished for more community pharmaceutical care. 128 residents （19.5%） had signed the Family Doctor Service. 331 respondents （62.4%） were willing to or considering about signing this service. The respondents thought community pharmaceutical care was convenient and timely in medication guidance; but the service was uneven in quality, and both types and quantity of drugs were inadequate. CONCLUSIONS ： The quality of community pharmaceutical care in Shanghai needs to be improved; diversified service should be enhanced; Family Doctor Service has been not popularized widely. It is suggested to balance professional level and service ability of medical staff among different districts; improve the types of drugs in community health care institutions and optimize the means of drug distribution; specialize the contents of community pharmaceutical care and pay attention to the specificity of service object; enrich the contents of pharmaceutical care in Family Doctor Service and strengthen the role of Family Doctor Service.
出处
《中国药房》
CAS
CSCD
2013年第44期4145-4148,共4页
China Pharmacy
关键词
社区卫生服务机构
药学服务
态度
需求
调查分析
Community health care institution
Pharmaceutical care
Attitude
Demand
Investigation and analysis
