【摘要】 目的：了解广东省社区医务人员对临床药师及药学服务的认知及需求，为开展社区药学服务提供参考。方法：以问卷调查形式，采用分层随机抽样法对广东省社区医务人员发放调查问卷，并对调查结果进行统计分析。结果：收回有效问卷564份，12.76%的社区医务人员十分了解临床药师工作；86.88%的社区医务人员遇到用药问题时希望得到临床药师的指导和帮助；95.39%的社区医务人员希望临床药师加入家庭医生团队，参与患者管理。社区医务人员希望提供的药学服务主要包括药品不良反应的识别及上报（90.43%）、开展用药咨询（89.01%）、参与个体化用药方案的制定（87.23%）和开展合理用药培训（84.75%）。多因素Logistic回归显示，地区（OR=0.367）、年龄（OR=1.793）、身份（OR=0.557）和遇到用药问题咨询药师（OR=3.361），是社区医务人员对临床药师认知的主要影响因素。相关分析显示，社区医务人员对临床药师的认知水平与药学服务的需求具有明显正相关（P<0.01）。结论：社区医务人员对临床药师认知度较低，但对药学服务需求强烈，应通过加强宣传，推进临床药师制度建设等措施提升社区医务人员对临床药师及药学服务的认知，探索社区药学服务新模式，促进社区合理用药。更多还原

【Abstract】 Objective: To investigate of the cognition and demand of community medical staf f from Guangdong province to clinical pharmacists and pharmaceutical care to provide some references for the further development of community pharmaceutical care service. Methods: In the form of questionnaire survey, stratified random sampling method was conducted to distribute questionnaires to medical staff in community from Guangdong province. The survey results were statistically analyzed by SPSS software. Results: 564 valid questionnaires were returned. It showed that 12.76% of the community medical staf f clearly knew the work of clinical pharmacists very well. 86.88% of them would like to receive the guidance and help from clinical pharmacists when confused about medication. Approximately 95.39% of them hoped that clinical pharmacists would join the family doctor team and participate in patient management. The pharmaceutical care that community medical staf f hoped to be provided mainly included the identifi cation and reporting of adverse drug reactions(90.43%), drug consultation(89.01%),participation in the formulation of individualized medication plans(87.23%) and training on rational drug use(84.75%). Multivariate logistic regression analysis showed that area(OR=0.367), age(OR=1.793), identity(OR=0.557) and consulting pharmacists in case of medication problems(OR=3.361) were the main infl uencing factors of community medical staf f’s cognition on clinical pharmacists. Correlation analysis showed that there was a signifi cant positive correlation between the cognitive level of community medical staf f to clinical pharmacists and the demand for pharmaceutical care(P<0.01). Conclusion: Community medical staff from Guangdong province lacked of the cognition on Clinical Pharmacists, but they have a strong demand for pharmaceutical care.We should elevate the cognition of community medical staf f on clinical pharmacists and pharmaceutical care by strengthening public propaganda and promoting the construction of clinical pharmacists system, explore new models of community pharmaceutical care, and promote rational drug use in community.更多还原