1,2 3 2 4 5* (1. 310053 2. 325000 3. 325000 4. 201203 5. 325000) 12 79.42% 63.02% 86.67% (50.38%)(49.27%) 46.67% 43.81%96.19% (81.4%) (71.9%) (70.5%)55% 65%90% 18.75% 37.5% 98.44% R952 B 1007-7693(2015)01-0114-05 DOI: 10.13748/j.cnki.issn1007-7693.2015.01.031 Investigation Report of Community Pharmaceutical Service CHEN Ye 1,2, LIN Junbang 3, ZHANG Xiaodan 2, QIAN Jianchang 4, BAO Shihui 5* (1.Zhejiang Chinese Medical University, Hangzhou 310053, China; 2.The Seventh People s Hospital of Wenzhou, Wenzhou 325000, China; 3.Wenzhou PU-xie-shi Community Health Care Center, Wenzhou 325000, China; 4.Pharmacy School of Fudan University, Shanghai 201203, China; 5.The Second Hospital Affiliated to Wenzhou Medical University, Wenzhou 325000, China) ABSTRACT: OBJECTIVE To investigate and analyze the different groups of community pharmacy care awareness and demand, therefore, providing the scientific basis for the effective development of community pharmacy cares. METHODS A large questionnaire survey was conducted in 12 communities, which includes residents, pharmacists, nurses and health management. The data was summarized and statistics finally. RESULTS According to the results, more than 79.42% of residents are not fully learned about the responsibility of pharmacist. 63.02% of residents do not understand pharmacy care. However, 86.67% residents believe that the community pharmacy cares are very valuable after introduction. Guidance and counseling cares (50.38%), the recommended safe and effective economic drug (49.27%) are the most necessary for them. Thereafter, more than 46.67% community health workers do not fully understand community pharmacists responsibilities. 43.81% of them do not fully understand the pharmaceutical cares. But, after explaining, 96.19% medical personnel are aware of the importance of pharmaceutical care. Adverse drug reactions (81.4%), incompatibility of drugs (71.9%), matters need attention (70.5%) are the priority demand for them. Meanwhile, more than 55% of the community health management of the clinical pharmacist does not fully make sense of pharmacists responsibility, 65% of them don t know the concept of pharmaceutical cares. After introduction, 90% of them support these cares. Only 18.75% community pharmacists do not fully get the idea about pharmacists responsibility. 37.5% lack of the awareness of community pharmacy cares. However, 98.44% of them think it is necessary to carry out community pharmaceutical care, and hope that through different channels to enhance their business Level. CONCLUSION The awareness of responsibility of community pharmacy is poor among the different groups, but the demand of pharmacy care is huge. Facing the reform of medical system, community pharmacists should improve their own quality, then (R20110102) (2011ZHA-KEB104) Tel: 13857772369 E-mail: 87057960@qq.com Tel: 13757718157 E-mail: bsh5171@126.com * 114 Chin J Mod Appl Pharm, 2015 January, Vol.32 No.1 2015 1 32 1
make effort to get the support and understand from community residents, the medical and health management. Only through this way can they do better during community pharmaceutical care. KEY WORDS: community pharmaceutical care; multi aspect; awareness; demand (community pharmaceutical care CPC) ( ) [1] CPC 12 CPC CPC 1 1.1 12 1 536 1 200 72 240 24 1.2 1.3 CPC 3 ( ) CPC ( CPC ) CPC 1.4 Epidata 3.0 Excel SPSS 19.0 χ 2 P<0.05 2 1 536 1 465 1 171 64 210 20 95.38% 12 2.1 1 1 Tab. 1 Basic information of survey / 18 19~35 36~60 61~70 71~80 81 560 611 28 488 427 167 49 12 32 438 381 236 134 47.82 52.18 2.39 41.67 36.46 14.26 4.18 1.02 2.73 37.40 32.54 20.15 11.44 20 44 0 48 16 0 0 0 0 0 4 31 29 31.25 68.75 0 75.00 25.00 0 0 0 0 0 6.25 48.44 45.31 72 138 0 123 82 5 0 0 0 0 36 71 103 34.29 65.71 0 58.57 39.05 2.38 0 0 0 0 17.14 33.81 49.05 14 6 0 7 13 0 0 0 0 0 1 8 11 70 30 0 35 65 0 0 0 0 0 5 40 55 2.2 CPC CPC 2 2 2 ( P<0.05) 2015 1 32 1 Chin J Mod Appl Pharm, 2015 January, Vol.32 No.1 115
(P>0.05) (P<0.05) 2 1~2 79.42% 63.02% 86.67% CPC 46.67% 43.81% 96.19% 55% 65% 90% 18.75% 37.5% CPC 98.44% CPC 2 ( ) Tab. 2 Understanding of responsibilities of community pharmacists among different groups(multiple choice) 978 421 241 83.51 35.95 20.58 2) 210 186 112 100 1) 88.57 1) 53.33 1)2) 20 15 9 100 1) 75 1) 45 1)2) 64 58 52 100 1) 90.63 1) 81.25 1) 1) P<0.05 2) P<0.05 Note: Compared with community residents, 1) P<0.05; compared with community pharmacists, 2) P<0.05. 1 CPC Fig. 1 Cognitive level of CPC among different groups 2 CPC Fig. 2 The realization of CPC among different groups after introduction 2.3 CPC 89.06% 57.81% 1~2 84.38% 79.69% 76.56% 73.44% 73.44% 90.63% 73.44% 64.06% 53.13% CPC 3~4 3 CPC ( ) Tab. 3 Community residents demand of CPC(multiple choice) 577 590 167 348 388 20 /% 49.27 50.38 14.26 29.72 33.13 1.71 4 ( ) Tab. 4 Community health workers demand of pharmacy care(multiple choice) 171 127 151 50 60 87 59 148 /% 81.4 60.5 71.9 23.8 28.6 41.4 28.1 70.5 116 Chin J Mod Appl Pharm, 2015 January, Vol.32 No.1 2015 1 32 1
3 CPC [2-3] 21 [4-7] CPC CPC CPC [2,8-9] CPC CPC [10] 2 000 CPC [11] [12] CPC [13] CPC CPC CPC 294.38 km 2 2010 12 69.98 6 85.82 2007 21 1~2 CPC CPC 3.1 CPC CPC CPC CPC 3.2 CPC 3.3 CPC [14] 2015 1 32 1 Chin J Mod Appl Pharm, 2015 January, Vol.32 No.1 117
CPC 3.4 CPC 37.5% ( 5 ) 3 CPC [15] CPC [16] [13] CPC CPC [17-18] REFERENCES [1] "Millions of Pharmacists Care Project" Series Editorial Board. Pharmacy Cares and Consulting( ) [M]. Beijing: Beijing science and Technology Press, 2005: 2. [2] SEEHUSEN D A, EDWARDS J. Patient practices and beliefs concerning of medications [J]. J Am Board Fam Med, 2006, 19(6): 542-547. [3] WANG Y Q. Community pharmacy overview [J]. Chin Pharm J( ), 2007, 42(24): 1924-1928. [4]. [J]., 2005, 21(276): 3-5. [5] MURTHY N R, OKUNADE A A. Managed care, deficit financing, and aggregate health care expenditure in the United States: a cointegration analysis [J]. Health Care Manag Sci, 2000, 3(4): 279-285. [6] ZHANG Z, QI S W. Present situation and enlightenment of the foreign community health care [J]. Chin Gen Pract( ), 2005, 8(15): 1283-1284. [7] YAN J, HUANG G W, ZHANG J C. Research and Enlightenment of the foreign community health care system [J]. Chin Gen Pract( ), 2010,13 (9A): 2853-2854. [8] WILLIAMS S E, BOND C M, MENZIES C. A pharmaceutical needs assessment in a primary care setting [J]. Br J Gen Pract, 2000, 50(451): 95-99. [9]. [J]., 2002, 10(8): 77-79. [10] CHANG L J, ZHANG T H. Investigation and analysis of community pharmaceutical care demand of residents [J]. Chin Gen Pract( ), 2008, 13(8A): 2441-2444. [11],,. [J]., 2011, 30(5): 671-673. [12] CHEN Y N, LU Y M, GU T H, et al. A survey of investigation of demand for pharmacy services in the community of Jinshan district Shanghai [J]. China J Pharm Economic( ), 2010(2): 5-10. [13] CENG Y, LI Y, ZHANG X J, et al. The necessity and feasibility for hospital pharmacists involving in Community Pharmacy Services [J]. Today Pharma(), 2009, 19(1): 52-55. [14],,,. [J]., 2007, 18(31): 2473-2474. [15]. [J]. ( ), 2006, 8(5): 111. [16] YANG L H, BAO S H, PAN Y. Investigation and analysis of present situation of pharmaceutical care in Wenzhou city community pharmacists [J]. Chin Rem Clin( ), 2013, 13(7): 887-888. [17]. [J]., 2006, 6(5): 391-393. [18]. [J]., 2008, 27 (5): 127-128. 2014-01-25 118 Chin J Mod Appl Pharm, 2015 January, Vol.32 No.1 2015 1 32 1