1.四川大学华西第二医院药学部/循证药学中心,成都;610041
2.首都医科大学附属北京积水潭医院药学部,北京 100035
3.中国医院协会药事专业委员会,北京 100035
4.华东师范大学,上海 200062
5.天津市第一中心医院药学部,天津 300192
6.北京大学第一医院药剂科,北京 100034
7.复旦大学附属中山医院药剂科,上海 200032
8.南方医科大学南方医院临床药学中心,广州 510515
9.山东第一医科大学第一附属医院(山东省千佛山医院)临床药学科,济南 250014
10.中国医学科学院肿瘤医院药学部,北京 100020
Received:29 January 2026,
Revised:2026-06-17,
Accepted:18 June 2026,
Published:15 July 2026
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黄亮,甄健存,游蠡,等.基于现场调研的临床药师培训基地分布及其药师配置情况分析[J].中国药房,2026,37(13):1661-1666.
HUANG Liang,ZHEN Jiancun,YOU Li,et al.An analysis of clinical pharmacist training bases and pharmacist staffing status based on field research[J].ZHONGGUO YAOFANG,2026,37(13):1661-1666.
黄亮,甄健存,游蠡,等.基于现场调研的临床药师培训基地分布及其药师配置情况分析[J].中国药房,2026,37(13):1661-1666. DOI: 10.6039/j.issn.1001-0408.2026.13.01.
HUANG Liang,ZHEN Jiancun,YOU Li,et al.An analysis of clinical pharmacist training bases and pharmacist staffing status based on field research[J].ZHONGGUO YAOFANG,2026,37(13):1661-1666. DOI: 10.6039/j.issn.1001-0408.2026.13.01.
目的
2
了解我国临床药师培训基地及其药师队伍发展现状,为规范基地建设、促进医院药学高质量发展提供参考。
方法
2
对截至2023年已获批的卫生健康紧缺人才临床药师培训基地和中国医院协会临床药师培训基地发放调查表,采集基地信息、药师配置情况等数据,并组织专家开展现场调研核查数据。对基地数量、类型、分布等进行描述性统计分析,并分析基地药师配置的影响因素。
结果
2
对31个省份的297家基地进行了现场调研。基地医院中87.88%为三级甲等综合医院,65.32%分布在省会城市;东部地区基地数量最多(136家,45.79%),其次是西部地区(79家,26.60%);各省份间基地数量、医院规模均存在较大差异。基地医院药学专业技术人员占比中位数为4.05%、临床药师配置中位数为每百床0.53人,且均以东部地区最高(0.57人,4.43%)、东北地区最低(0.45人,3.01%)。全部基地专职临床药师共3 627名,其中83.68%具有临床药师培训证书,35.43%具有高级专业技术职称,78.19%具有研究生及以上学历。调研基地年培训总容量为4 291人,各区域、各省份年培训容量差异较大;临床药师培训内容共涉及19个专科和1个全科/通科专业,但尚无省份具备同时开展20个专业培训的能力。多因素Logistic回归分析显示,区域对药学专业技术人员占比(≥4%)具有显著影响(
P
<0.05),基地获批时间和医院规模对每百床临床药师配置(≥0.6人)具有显著影响(
P
<0.05)。
结论
2
我国临床药师培训体系已基本成熟且初具规模,临床药师培训资源分布与区域人口和经济发展水平基本一致,但药学专业技术人员和临床药师配置尚未能满足国家标准和医疗需求。
OBJECTIVE
2
To clarify the current development status of clinical pharmacist training bases and the pharmacist workforce in China, and to provide evidence for standardizing base construction and promoting the high-quality development of hospital pharmacy.
METHODS
2
Questionnaires were distributed to all clinical pharmacist training bases for urgently-needed health professionals and clinical pharmacist training bases under the Chinese Hospital Association that had been approved by the end of 2023 to collect data including base profiles and pharmacist staffing conditions. Expert teams carried out field investigations to verify the collected data. Descriptive statistical analyses were conducted on the quantity, type and regional distribution of training bases, and the influencing factors of pharmacist staffing in the bases were analyzed.
RESULTS
2
Field surveys were completed covering 297 training bases across 31 provincial-level administrative regions. Among the base hospitals, 87.88% were Grade A tertiary general hospitals, and 65.32% were located in provincial capitals. The eastern region had the largest number of bases (136, accounting for 45.79%), followed by the western region (79, 26.60%). Great disparities existed among provinces in terms of base quantity and hospital scale. The median proportion of pharmaceutical technical personnel in base hospitals was 4.05%, and the median number of clinical pharmacists per 100 hospital beds was 0.53. Both indicators reached the highest in the eastern region (0.57, 4.43%) and the lowest in the northeastern region (0.45, 3.01%). A total of 3 627 full-time clinical pharmacists were employed in all surveyed bases, among whom 83.68% held clinical pharmacist training certificates, 35.43% possessed senior professional titles, and 78.19% had postgraduate or higher educational background. The total annual training capacity of the surveyed bases was 4 291 trainees, with obvious differences in annual training capacity across regions and provinces. Training specialties covered 19 specialized disciplines plus one general discipline, and no province could deliver training for all 20 specialties simultaneously. Multivariate Logistic regression analysis showed that geographic region exerte
d a significant impact on the proportion of pharmaceutical technical personnel (≥4%) (
P
<0.05), while the approval time of training bases and hospital scale had significant effects on the number of clinical pharmacists per 100 beds (≥0.6) (
P
<0.05).
CONCLUSIONS
2
China’s clinical pharmacist training system has basically matured and taken initial shape. The distribution of clinical pharmacist training resources is generally consistent with regional population and economic development levels. However, the allocation of pharmaceutical staff and clinical pharmacists has not yet met national standards and clinical service demands.
国家卫生健康委 , 国家中医药管理局 . 关于加快药学服务高质量发展的意见 [EB/OL ] .[ 2026-01-30 ] . https://www.gov.cn/gongbao/content/2019/content_5380378.htm https://www.gov.cn/gongbao/content/2019/content_5380378.htm .
甄健存 . 我国自主培养临床药师的阶段性成果回顾 [J ] . 中国药物与临床 , 2025 , 25 ( 23 ): 1497 - 1500 .
国家卫生健康委办公厅 . 国家卫生健康委办公厅关于印发药事管理和护理专业医疗质量控制指标(2020年版)的通知 [EB/OL ] .[ 2026-01-30 ] . https://www.gov.cn/zhengce/zhengceku/2020-08/05/content_5532636.htm https://www.gov.cn/zhengce/zhengceku/2020-08/05/content_5532636.htm .
国家卫生健康委办公厅 . 国家卫生健康委办公厅关于印发药事管理等3个专业医疗质量控制指标(2025年版)的通知 [EB/OL ] .[ 2026-01-30 ] . https://www.gov.cn/zhengce/zhengceku/202509/content_7039760.htm https://www.gov.cn/zhengce/zhengceku/202509/content_7039760.htm .
卫生部办公厅 . 关于开展临床药师培训试点工作的通知 [EB/OL ] .[ 2026-02-25 ] . https://www.doc88.com/p-911991- 46890446.html https://www.doc88.com/p-911991-46890446.html .
吴永佩 , 颜青 , 李喜西 , 等 . 加强临床药师培训基地建设与提升临床药师培训质量 [J ] . 中国临床药学杂志 , 2014 , 23 ( 5 ): 265 - 269 .
甄健存 , 吴永佩 , 颜青 , 等 . 加强医院药学人才建设 建设适应医改需求的临床药师培训体系 [J ] . 中国医院 , 2020 , 24 ( 5 ): 65 - 67 .
阮晓 , 闫雪莲 , 张波 . 中国医院协会药事专业委员会临床药师培训进展研究 [J ] . 协和医学杂志 , 2025 , 16 ( 3 ): 797 - 804 .
Paul W Abramowitz . CEO blogs:Match day 2024 [EB/OL ] .( 2024-03-13 )[ 2026-02-25 ] . https://www.ashp.org/about-ashp/ceo-blogs/recent-blogs/match-day-2024?locale=zh_CNloginreturnUrl=SSOCheckOnly https://www.ashp.org/about-ashp/ceo-blogs/recent-blogs/match-day-2024?locale=zh_CNloginreturnUrl=SSOCheckOnly .
国家统计局 . 经济社会发展统计图表:2024年东部、中部、西部及东北地区主要经济指标 [EB/OL ] .[ 2026-02-25 ] . https://www.qstheory.cn/20250614/8981735814e447-d8948b928d2c60e8f3/c.html https://www.qstheory.cn/20250614/8981735814e447-d8948b928d2c60e8f3/c.html .
国家卫生健康委员会 . 中国卫生健康统计年鉴:2024 [M ] . 北京 : 中国协和医科大学出版社 , 2025 : 26 - 27 .
中国医院协会 . 中国医院协会药事专业委员会第十五批临床药师培训基地申报工作通知 [EB/OL ] .[ 2026-01-25 ] . https://yiyao.inoad.com.cn/uploadfile/2023/0314/202303-14051108441.pdf https://yiyao.inoad.com.cn/uploadfile/2023/0314/202303-14051108441.pdf .
沈佳燕 , 罗震宇 , 余旭奔 . 药品零加成形势下医院药房的转型之路 [J ] . 医院管理论坛 , 2019 , 36 ( 4 ): 5 - 7 .
国家卫生健康委办公厅 . 关于印发医疗机构药学门诊服务规范等5项规范的通知 [EB/OL ] .[ 2025-08-17 ] . https://www.nhc.gov.cn/yzygj/c100068/202110/232127554f7a47-75b502610b4cbd8450.shtml https://www.nhc.gov.cn/yzygj/c100068/202110/232127554f7a47-75b502610b4cbd8450.shtml .
国家卫生健康委 , 国家中医药管理局 , 国家疾控局 . 关于印发全国医疗服务项目技术规范(2023年版)的通知 [EB/OL ] .[ 2025-08-17 ] . https://www.nhc.gov.cn/caiwusi/c100043/202309/b22604883d9a4ca58e82bc61b57cd4fd.shtml https://www.nhc.gov.cn/caiwusi/c100043/202309/b22604883d9a4ca58e82bc61b57cd4fd.shtml .
卜一珊 , 游蠡 , 卞婧 , 等 . 我国临床药师培训基地创新现状调研 [J ] . 中国药物与临床 , 2025 , 25 ( 23 ): 1501 - 1505 .
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