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目的:结合新医改政策,分析和探讨中医医院药剂人员的结构情况。方法:采用分层随机抽样方法,收集2010年度全国中医医院药剂人员构成、中西药剂人员比例、学历、技术职务、年龄结构等相关数据,进行分类和统计。结果:中医医院药剂人员占医院卫生技术人员的比例约为11%,其中2/3为中药药剂人员。中药药剂人员中高、中、初级及以下职称人数合计比例为5.06∶24.62∶70.32;县级医院初级及以下的比例达80.94%;省、地、县中医医院中高级职称之比为6.03∶6.02∶0.26。省级中医医院研究生、大学本科、专科、中专及以下的比例为3.84∶23.89∶32.41∶39.87,地级中医医院与之相近,县级中医医院无研究生学历药剂人员,且中专及以下的比例达74.15%。结论:在新医改背景下,中医医院药剂人员的整体素质尚有待提升,且其不同级别医院间的差异也有待改善。新医改将改变医院药剂科的传统地位和作用,相关的管理部门应积极引导和支持传统医院药学的转型。
OBJECTIVE: To analyze and discuss the structure of pharmacy staffs in TCM hospitals in combination with the new medical reform policy. Methods: Stratified random sampling method was used to collect the data of the composition of pharmacy staff, the proportion of Chinese and Western medicine staff, academic record, technical job, age structure in the National TCM Hospital in 2010, and classified and statistically analyzed. Results: The proportion of doctors and nurses in hospital of traditional Chinese medicine in hospital health technicians was about 11%, of which 2/3 were those of traditional Chinese medicine. Chinese medicine pharmacy staff in the high, middle, junior and below the total number of the proportion of the number of 5.06:24.62:70.32; county-level hospitals and below the proportion of 80.94%; provincial, prefectural and county hospitals in the senior title ratio 6.03: 6.02: 0.26. Provincial TCM hospitals graduate, undergraduate, specialist, secondary and below the ratio of 3.84:23.89:32.41:39.87, similar to the prefectural Chinese medicine hospital, county-level Chinese medicine hospital without a graduate degree pharmacy staff, and secondary and below The proportion of 74.15%. Conclusion: Under the background of new medical reform, the overall quality of pharmacy staff in TCM hospitals needs to be improved, and the differences among different levels of hospitals need to be improved. The new medical reform will change the traditional status and role of the hospital pharmacy department, the relevant management departments should actively guide and support the transformation of traditional hospital pharmacy.