目的:分析武汉市53家医院药剂科发展现状,并探讨对策和建议.方法:采取问卷的方式对武汉市53家医院的药剂科发展情况进行调查.结果:总体药学人员比例不足7％,医疗机构药剂人员编制不足,而且药学人才结构不够合理;制剂室和静脉配制中心配备不足;总体药房面积较少,许多二级医疗机构门诊和住院共(合)用一个药房;大多数医疗机构均有药事管理与药物治疗学委员会,而拥有药事管理与药物治疗学组的医疗机构只有21％左右;总体专职临床药师较少,而且在性别、学历水平以及职称上比例不均;总体医疗机构开展血药浓度检测平均品种数只有1.25个,而64.15％的医院设置了药学信息咨询部门,三级医疗机构数量是二级医疗机构数量的2倍多.结论:武汉市医院药剂科发展的水平有一定提高,但在人才队伍建设、服务内容、药学人员素质和医院管理等方面仍有待改进.

Objective:To investigate and analyze the influencing factors in the implementation of essential drugs in the medical in-stitutions in Hubei in order to provide reference for promoting the implementation of national essential drugs. Methods: The medical staff participating in the training class of clinical application guidelines and formulary of national essential drugs in Hubei (2014) was surveyed by a questionnaire to analyze and evaluate the statistical influencing factors in essential drugs implementation. Results: A-mong the factors affecting the implementation of essential drugs, the score of rational use was the highest (3. 86) followed by that of medicine quality, rational varieties of essential drugs, affordability and management system, and the factors with score below 3. 0 were pharmacy trusteeship and income of essential drugs in medical institutions. Conclusion: Based on the investigation and evaluation of influencing factors, the corresponding measures should be adopted, which can further improve the basic drug system and enhance the use effects of essential drugs.

Objective:To understand the current work situation of clinical pharmacy in medical institutions in Wuhan city .Meth-ods:A questionnaire survey was employed to investigate the stuffing situation of clinical pharmacists , quality of clinical pharmacists and clinical pharmacy development in medical institutions above class II in Wuhan city .The results were analyzed statistically .Re-sults:There was notable difference in the situation of clinical pharmacist among medical institutions above class Ⅱin Wuhan city , and so was in the development of clinical pharmacy .Conclusion:Clinical pharmacy work in medical institutions still demands much atten-tion and support from the relevant departments , and clinical pharmacists own need make great efforts constantly .

<正>随着我国对卫生事业投入的不断加大,各级各类医疗机构得到了迅速扩张和发展,但医疗机构药事管理工作发展明显滞后于医、技、护等部门的发展,基层医疗机构甚至出现明显人才队伍和部门功能的萎缩。随着医疗机构药事管理从传统的单纯保障药品供应向药学技术服务管理转变,药学人员的工作由按医生处方调剂药品转向主动参与临床药物治疗决策,从仅关注"药品"管理转而进入临床主动对"患者"提供药学服务。在此转型过程中,由于人员素质、理念、管理等方面的影响,药事管理还存在不少的问题和缺陷。笔者通