医务人员对药品零加成政策认知情况的调查与分析

发布时间：2018-04-09 02:04

本文选题：医改　切入点：药品零加成　出处：《中国药房》2015年10期

【摘要】：目的:了解医务人员对药品零加成政策的认知情况,为医院药品零加成政策的顺利推进提供参考。方法:设计问卷调查表,于2013年随机抽取上海交通大学医学院附属瑞金医院(简称"总院")及嘉定北院(简称"北院")500例医务人员就药品零加成政策的认知情况、药学工作评价等进行问卷调查,采用Excel 2007、SPSS 19.0软件对结果进行统计分析。结果:共回收有效问卷458份(总院370份、北院88份)。总院有63.69%、北院有87.50%的被调查者支持药品零加成政策;65.49%的被调查者认为患者获益最大;60.69%认为受改革影响最大的群体是医师;52.20%最关心编制变化。89.50%的被调查者对药学服务满意,75.11%认为药学人员还需提升职业技能,包括合理用药(65.56%)、药品供应(55.78%)、用药咨询(55.78%)、用药教育(55.78%)、不良反应监测(55.56%)等。结论:被调查者对药品零加成政策的认同度及支持率北院较总院高。应加强总院医务人员相关背景及政策的宣传,并积极推动药学服务从传统的供应模式向以患者为中心的药学服务模式转变,提高医疗服务质量。
[Abstract]:Objective: to understand the cognition of medical staff on the policy of zero addition of drugs, and to provide a reference for the smooth promotion of the policy of zero addition of drugs in hospitals.Methods: a questionnaire was designed to randomly select the cognition of 500 medical staff from Ruijin Hospital, Medical College of Shanghai Jiaotong University (referred to as "General Hospital") and North Hospital of Jiading (referred to as "Bei Yuan" for short) on the policy of zero addition of drugs in 2013.The results were statistically analyzed by Excel 2007 SPSS 19.0 software.Results: a total of 458 valid questionnaires were collected (370 in General Hospital and 88 in North Hospital).There are 63.69m in the General Hospital, 87.50% of the respondents in the North Institute support the zero-addition policy of drugs 65.49% of the respondents think that the patients benefit the most, 60.69% think that the group most affected by the reform is the doctor, 52.20% most concerned about the changes in preparation. 89.50% of the respondents are most concerned about the pharmacological application.75.11% said that pharmacists still need to upgrade their vocational skills.These include rational drug use (65.56g), drug supply (55.78), drug consultation (55.78), drug education (55.78), adverse reaction monitoring (55.56) and so on.Conclusion: the degree of approval and approval rate of drug zero-addition policy were higher in the north hospital than in the general hospital.The related background and policy propaganda of medical staff in General Hospital should be strengthened, and pharmaceutical service should be actively promoted from traditional supply mode to patient-centered pharmaceutical service mode, and the quality of medical service should be improved.
【作者单位】：上海交通大学医学院附属瑞金医院药剂科;
【分类号】：R952

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