中国药物警戒 ›› 2020, Vol. 17 ›› Issue (9): 607-612.
DOI: 10.19803/j.1672-8629.2020.09.13

• 安全与合理用药 • 上一篇    下一篇

我国医疗机构药物滥用监测模式需求调查

黄元1, 王成岗2, 吴世福1,*, 王玲3, 田月洁1, 吴晨3, 王晓骏1   

  1. 1山东省药品不良反应监测中心,山东 济南 250014;
    2山东中医药大学,山东 济南 250355;
    3国家药品监督管理局药品评价中心,北京 100022
  • 收稿日期:2020-08-17 修回日期:2020-08-17 出版日期:2020-09-15 发布日期:2020-08-17
  • 通讯作者: *吴世福,男,硕士,主任药师,药品不良反应监测。E-mail:wushifu@shandong.cn
  • 作者简介:黄元,女,硕士,副主任药师,药物滥用监测。
  • 基金资助:
    国家药品监督管理局药品评价中心课题:医疗机构药物滥用监测模式研究

Drug Abuse Monitoring Models in Medical Institutions in China

HUANG Yuan1, WANG Chenggang2, WU Shifu1,*, WANG Ling3, TIAN Yuejie1, WU Chen3, WANG Xiaojun1   

  1. 1Shandong Center for Adverse Drug Reaction Monitoring, Jinan Shandong 250014, China;
    2Shandong University of Traditional Chinese Medicine, Jinan Shandong 250355, China;
    3Center for Drug Reevaluation, NMPA, Beijing 100022, China
  • Received:2020-08-17 Revised:2020-08-17 Online:2020-09-15 Published:2020-08-17

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摘要： 目的 探索适应我国的医疗机构药物滥用监测工作模式,为开展监测工作提供决策支持。方法 采取随机抽样方法抽取样本省,选择药物滥用监测机构工作人员及医疗机构医务人员为调查对象,调查内容主要为医疗机构药物滥用监测现状及对开展医疗机构药物滥用监测模式的需求和建议。结果 共调查12省36所监测机构37名工作人员和61所医疗机构358名医务人员。8个样本省(占8/12)16所监测机构已开展医疗机构药物滥用监测工作。超过83.8%的被调查对象认为应在综合医院和精神专科医院开展药物滥用监测工作,超过50.0%的被调查对象认为监测的重点科室为精神科、疼痛科、药剂科、急诊科和心理科。超过60%的被调查者认为应采取建立哨点与常规监测相结合的方式,以监测哨点为主,其他医疗机构常规监测为辅助。超过70%的被调查对象认为相应管理制度、信息化手段、技术培训是开展监测工作应具备的条件。结论 在我国开展医疗机构药物滥用监测工作,需要从全国层面完善管理制度和卫生行政部门行政推动,利用信息化手段,在相关技术培训、配备人员、经费支持和建立监督、考核、信息反馈机制的基础上,稳步推进。

关键词: 医疗机构, 药物滥用, 监测, 需求

Abstract: Objective To explore an appropriate mode for drug abuse monitoring in medical institutions in China, and to provide decision-making support for drug abuse monitoring. Methods A random sampling method was used to investigate current methods of drug abuse monitoring and the needs of and suggestions about the establishment of drug abuse monitoring systems in medical institutions. The staffers of drug abuse monitoring agencies and medical institutions in 12 provinces in China were enrolled in this survey. Results A total of 37 staffers from 36 monitoring agencies and 358 staffers from 61 medical institutions were investigated. Sixteen monitoring agencies in 8 sampled provinces (8/12) carried out drug abuse monitoring in medical institutions. More than 83.8% of the respondents believed that drug abuse monitoring should be carried out in general hospitals and psychiatric hospitals. Over 50.0% believed that the departments of psychiatry, pain, pharmacy, emergency and psychiatry should be the focus of monitoring. More than 60% expressed the view that sentinel surveillance should be combined with routine monitoring, with sentinel surveillance as primary and routine monitoring in medical institutions as secondary. More than 70% of the respondents replied that the corresponding management system, information technology, and technical training were critical to monitoring. Conclusion Drug abuse monitoring in medical institutions in China involves improving the management system and administrative push at the national level, and using information technology. It should be steadily promoted on the basis of relevant technical training, personnel allocation, financial support and establishment of mechanisms for supervision, assessment and information feedback.

Key words: medical institutions, drug abuse, monitoring, demand

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