社区医生视角下不同县区居民用药习惯综合评价

发布时间：2018-02-28 00:39

本文关键词： 社区医生居民用药习惯　出处：《中国全科医学》2015年28期 　论文类型：期刊论文

【摘要】：目的综合评价不同县区的居民用药习惯。方法以山东省为研究样本,采用多阶段分层随机抽样的方法,于2012年10月按照经济发展水平抽取4个市,每个市随机抽取3~4个县区,每个县区随机抽取3~4家社区卫生服务中心,向机构内医生发放问卷并当场回收,共调查14个县区的232名社区医生。以居民对非基本药物、抗生素以及静脉注射的要求使用率三项指标作为用药习惯的评价指标,采用密切值(Ci)法计算14个县区的居民用药习惯Ci并将结果排序。结果14个县区的居民用药习惯Ci由小到大依次为G(-1.000 0)、C(-0.845 1)、B(-0.811 8)、M(-0.808 9)、F(-0.767 8)、I(-0.753 9)、N(-0.747 8)、J(-0.688 5)、A(-0.680 6)、L(-0.671 7)、K(-0.645 3)、E(-0.549 1)、H(-0.533 8)、D(0)。结论 14个县区中,G地区居民用药习惯最好,D地区最差,可以通过强化医生用药指导等措施来改善居民用药习惯。
[Abstract]:Objective to comprehensively evaluate the residents' drug use habits in different counties and districts. Methods taking Shandong Province as the research sample and adopting the method of multi-stage stratified random sampling, in October 2012, 4 cities were selected according to the level of economic development, and each city was randomly sampled from 3 to 4 counties and districts. Three or four community health service centers were randomly selected from each county and district, and questionnaires were sent to doctors in the institutions and recovered on the spot. A total of 232 community doctors were investigated in 14 counties and districts. Antibiotics and the requirement of intravenous use of three indicators as the evaluation of drug use habits, The method of close value Cii was used to calculate and rank the results of residents' drug use habits in 14 counties. Results the order of ci from small to large in 14 counties was: C ~ (-1) -0.845 ~ (1) ~ (-1) B ~ (1) -0.811 8 ~ (8) M ~ (-0.808) ~ (9) F-0.767 ~ (8) I ~ (-0.753) ~ (-0.753) -0.747 ~ (8) J ~ + -0.688 ~ (-0.688) A ~ (-0.680) A ~ (-0.671) K ~ (-0.645) -0.549 ~ (-1) HU -0.533 ~ (8) D0O. Conclusion there are 14 counties in 14 counties. The residents in Zhonghu G area had the best drug use habit and the worst in D area. We can improve the habit of drug use by strengthening the guidance of doctors and other measures.
【作者单位】：潍坊医学院管理学院;
【基金】：国家自然科学基金资助项目(71173158)——我国基本药物制度实施影响评价与政策优化研究(以山东省为例) 教育部“新世纪优秀人才支持计划”(NCET-11-1032)——城市社区卫生服务模式评价与发展策略研究
【分类号】：R95

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