辽源市居民基本药物制度知晓及免费使用态度调查

发布时间：2018-02-13 08:09

本文关键词： 基本药物制度知晓免费使用态度老年人　出处：《中国公共卫生》2015年07期 　论文类型：期刊论文

【摘要】：目的了解吉林省辽源市居民基本药物制度知晓及免费使用态度情况,为探讨"老年人在基层医疗机构免费使用基本药物"政策的可行性、开展方式、可预见的问题及解决措施提供参考。方法采用分层随机抽样方法对在辽源市抽取的280名老年组(60~85岁)和300名非老年组(30~59岁)共580名居民进行问卷调查。结果老年组居民不知晓、听说过、了解和非常了解基本药物制度者分别占53.9%、19.6%、21.0%和5.4%,非老年组居民分别占46.7%、26.7%、19.3%和7.3%,2组居民对基本药物制度的知晓情况差异无统计学意义(P0.05);老年组居民正受病痛困扰者占42.1%,高于非老年组居民的25.7%,差异有统计学意义(χ2=17.62,P=0.000);老年组居民定期体检且对自己身体状况非常了解、身体不舒适则就医和不体检且基本不就医者分别占30.0%、62.1%和1.4%,非老年组居民分别占28.7%、54.0%和17.3%,2组居民对身体状况了解程度差异有统计学意义(χ2=11.93,P=0.003);老年组与非老年组居民比较,2组居民在家中剩余药物用途、是否会用自己的免费额度为家人买药和基本药物免费额度有结余时的处理办法等基本药物免费使用态度方面差异均有统计学意义(均P0.05),基本药物免费使用能否减轻经济负担基本药物免费使用态度方面差异无统计学意义(P0.05)。结论老年人大多受疾病困扰且就诊意愿较高,制定"老年人在基层医疗机构免费使用基本药物"这一政策具有可行性,但在积极推行的同时还应考虑存在的风险。
[Abstract]:Objective to understand the knowledge and free use attitude of residents in Liaoyuan City, Jilin Province, and to explore the feasibility of the policy of "free use of essential drugs by the elderly in primary medical institutions". Methods A questionnaire survey was conducted among 280 elderly people (aged 60 / 85) and 300 non-elderly (aged 30 / 59) selected from Liaoyuan City by stratified random sampling. I've heard of it. The proportion of people with knowledge of and very familiar with the essential drug system was 21.0% and 5.4%, respectively. The non-elderly group accounted for 46.7% and 26.7%, respectively. There was no significant difference in the knowledge of the basic drug system between the two groups (P 0.05); the elderly group was suffering from illness and pain, and the proportion of the elderly population was 42.1%. The difference was statistically significant (蠂 2, 17.62, P < 0. 000). The residents in the old group had regular physical examination and knew their physical condition very well, and the difference was statistically significant (蠂 2, 17. 62, P < 0. 000). If the body was not comfortable, the proportion of the patients who were not well and who had no medical examination were 30.0% and 1.4%, respectively. The non-elderly residents accounted for 28.74.0% and 17.3%, respectively. There was significant difference in the understanding of the physical condition between the elderly group and the non-elderly group (蠂 2 + 11.93%, 蠂 2 / 11.93%, P 0.003), and there was a significant difference between the elderly group and the non-elderly group (蠂 2 / 11. 93%, P < 0. 003). 2 groups of residents in their homes for surplus drug use, There were statistically significant differences in the attitude of free use of essential drugs, such as whether they would use their own free quota to buy medicines for their families and how to deal with the free use of essential drugs when there was a surplus (P0.05, respectively, whether the free use of essential drugs could be reduced). There was no statistically significant difference in the attitude towards free use of essential drugs with light financial burden. Conclusion the elderly are mostly troubled by diseases and have a higher willingness to seek medical treatment. It is feasible to make the policy of "the elderly use essential drugs free of charge in primary medical institutions", but the risks should be taken into account while actively promoting them.
【作者单位】：吉林大学第一医院药剂科;
【分类号】：R95

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