What is the current status of transplant pharmacy services in China? A nationwide cross-sectional survey
Background Pharmacists are vital to the multidisciplinary care for transplant patients, but the workforce of their work in China remains unclear.Objective To assess the current status of transplant pharmacists' work in China through a national workforce survey to evaluate service provision acro...
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| Format: | Article |
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BMJ Publishing Group
2025-06-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/15/6/e093542.full |
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| author | Xin Yu Hui Yang Fang Zeng Pan Chen Zhuoling An Xiaopeng Hu Kuifeng Ma Xiangduan Liu Qing Qian Wenjing Hou Guangzhao Wang Rongrong Wang |
| author_facet | Xin Yu Hui Yang Fang Zeng Pan Chen Zhuoling An Xiaopeng Hu Kuifeng Ma Xiangduan Liu Qing Qian Wenjing Hou Guangzhao Wang Rongrong Wang |
| author_sort | Xin Yu |
| collection | DOAJ |
| description | Background Pharmacists are vital to the multidisciplinary care for transplant patients, but the workforce of their work in China remains unclear.Objective To assess the current status of transplant pharmacists' work in China through a national workforce survey to evaluate service provision across transplantation stages and pharmacist capacity.Design, setting and participants Nationwide cross-sectional questionnaire-based study (25 March–1 April 2024) involving 91 transplant centres performing>90% of China’s organ transplants.Main outcomes and measures Pharmacy items and duration provided to patients by pharmacists at each transplant centre and used to calculate full-time equivalents (FTEs).Results Service provision varied substantially across centres, with only 0.8 pharmacists per 100 transplant patients nationally. Current workforce require 2.6 FTEs/100 transplants for comprehensive services, reducible to 1.2 FTEs if non-clinical duties are excluded. Key challenges included service inconsistency, limited patient coverage and inadequate standardisation/digitalisation. Primary barriers were excessive non-service workloads and insufficient performance incentives. Addressing these issues is an effective way to change the current status of pharmacy services for transplant recipients in China.Conclusions A national workforce survey revealed significant gaps in transplant pharmacy services in China, particularly in standardisation and digitalisation. To address these issues, key steps include reducing non-essential workloads for transplant clinical pharmacists, enhancing performance incentives, expanding the number of transplant pharmacists and developing standardised service protocols. |
| format | Article |
| id | doaj-art-e69b3ae1121644cead943fe2f439a310 |
| institution | Kabale University |
| issn | 2044-6055 |
| language | English |
| publishDate | 2025-06-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj-art-e69b3ae1121644cead943fe2f439a3102025-08-20T03:24:47ZengBMJ Publishing GroupBMJ Open2044-60552025-06-0115610.1136/bmjopen-2024-093542What is the current status of transplant pharmacy services in China? A nationwide cross-sectional surveyXin Yu0Hui Yang1Fang Zeng2Pan Chen3Zhuoling An4Xiaopeng Hu5Kuifeng Ma6Xiangduan Liu7Qing Qian8Wenjing Hou9Guangzhao Wang10Rongrong Wang11Capital Medical University Beijing Obstetrics and Gynecology Hospital, Beijing, ChinaDepartment of Pharmacy, Beijing Chao-Yang Hospital Capital Medical University, Beijing, ChinaNational Alliance of Transplant Pharmacists, Zhejiang Hangzhou, ChinaNational Alliance of Transplant Pharmacists, Zhejiang Hangzhou, ChinaDepartment of Pharmacy, Beijing Chao-Yang Hospital Capital Medical University, Beijing, ChinaDepartment of Urology, Beijing Chao-Yang Hospital Capital Medical University, Beijing, ChinaNational Alliance of Transplant Pharmacists, Zhejiang Hangzhou, ChinaNational Alliance of Transplant Pharmacists, Zhejiang Hangzhou, ChinaNational Alliance of Transplant Pharmacists, Zhejiang Hangzhou, ChinaNational Alliance of Transplant Pharmacists, Zhejiang Hangzhou, ChinaNational Alliance of Transplant Pharmacists, Zhejiang Hangzhou, ChinaNational Alliance of Transplant Pharmacists, Zhejiang Hangzhou, ChinaBackground Pharmacists are vital to the multidisciplinary care for transplant patients, but the workforce of their work in China remains unclear.Objective To assess the current status of transplant pharmacists' work in China through a national workforce survey to evaluate service provision across transplantation stages and pharmacist capacity.Design, setting and participants Nationwide cross-sectional questionnaire-based study (25 March–1 April 2024) involving 91 transplant centres performing>90% of China’s organ transplants.Main outcomes and measures Pharmacy items and duration provided to patients by pharmacists at each transplant centre and used to calculate full-time equivalents (FTEs).Results Service provision varied substantially across centres, with only 0.8 pharmacists per 100 transplant patients nationally. Current workforce require 2.6 FTEs/100 transplants for comprehensive services, reducible to 1.2 FTEs if non-clinical duties are excluded. Key challenges included service inconsistency, limited patient coverage and inadequate standardisation/digitalisation. Primary barriers were excessive non-service workloads and insufficient performance incentives. Addressing these issues is an effective way to change the current status of pharmacy services for transplant recipients in China.Conclusions A national workforce survey revealed significant gaps in transplant pharmacy services in China, particularly in standardisation and digitalisation. To address these issues, key steps include reducing non-essential workloads for transplant clinical pharmacists, enhancing performance incentives, expanding the number of transplant pharmacists and developing standardised service protocols.https://bmjopen.bmj.com/content/15/6/e093542.full |
| spellingShingle | Xin Yu Hui Yang Fang Zeng Pan Chen Zhuoling An Xiaopeng Hu Kuifeng Ma Xiangduan Liu Qing Qian Wenjing Hou Guangzhao Wang Rongrong Wang What is the current status of transplant pharmacy services in China? A nationwide cross-sectional survey BMJ Open |
| title | What is the current status of transplant pharmacy services in China? A nationwide cross-sectional survey |
| title_full | What is the current status of transplant pharmacy services in China? A nationwide cross-sectional survey |
| title_fullStr | What is the current status of transplant pharmacy services in China? A nationwide cross-sectional survey |
| title_full_unstemmed | What is the current status of transplant pharmacy services in China? A nationwide cross-sectional survey |
| title_short | What is the current status of transplant pharmacy services in China? A nationwide cross-sectional survey |
| title_sort | what is the current status of transplant pharmacy services in china a nationwide cross sectional survey |
| url | https://bmjopen.bmj.com/content/15/6/e093542.full |
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