泸州市基层医师对国家基本药物制度的认知与行为调查

发布时间：2018-11-24 21:15

【摘要】：目的:为进一步推动国家基本药物制度的实施和完善提供参考。方法:采用分层随机抽样法抽取四川省泸州市的252名基层医师,就其对国家基本药物制度的认知与行为进行问卷调查,并就相关调查数据进行统计和分析。结果:共发放问卷252份,回收有效问卷243份,有效回收率为96.4%。242名听说过国家基本药物制度的受访者中选择"听说过但不清楚"的比例最高(占52.1%);149名参加过国家基本药物知识培训或学习的受访者中仅参加过"1次"的比例最高(占57.0%);受访者对国家基本药物制度各项常识的知晓率最高为45.0%,最低为16.5%。实施国家基本药物制度后,受访者中经常向诊疗对象宣传国家基本药物制度的仅占23.1%,工作积极性、工作效率、工作量选择"没有变化"的比例最高(均占58.3%),认为对临床用药习惯的"影响不大"的比例最高(占38.8%);受访者中86.4%愿意优先考虑使用国家基本药物,排在前4位的原因依次是"可以获得有关基本药物使用的培训和指导""规定了基层医疗卫生机构基本药物的使用率""国家基本药物制度的宣传力度加大""定期评价医师的处方",而13.6%不愿意优先考虑使用国家基本药物,排在前4位的原因依次是"缺乏使用基本药物的信心""基本药物可及性太差""担心因处方基本药物出现医疗事故,引发医疗纠纷""不知道哪些是基本药物"。结论:泸州市基层医师对国家基本药物制度的认知和贯彻落实有待进一步加强,这与其参与国家基本药物知识培训或学习的次数较少且效果不明显有关,同时也与政府的相关配套政策不完善有一定关系。
[Abstract]:Objective: to provide reference for the implementation and improvement of national essential drug system. Methods: 252 primary physicians in Luzhou City, Sichuan Province were selected by stratified random sampling, and their cognition and behavior of national essential drug system were investigated by questionnaire, and the related data were analyzed. Results: a total of 252 questionnaires were sent out, 243 valid questionnaires were collected, and the effective recovery rate was 96.4.242 respondents who had heard of the national essential drug system, the highest proportion was "heard but not clear" (52.1%). The highest proportion (57.0%) of 149 interviewees who had participated in the training or study of national essential drug knowledge had only participated in "once"; The highest level of awareness of the national essential drug system was 45.0, and the lowest was 16.5%. After the implementation of the national essential drug system, the proportion of respondents who often reported to the patients about the national essential drug system was only 23.1. the proportion of work enthusiasm, work efficiency and workload choice was the highest (58.3%). It was considered that the proportion of "little influence" on clinical drug use habit was the highest (38.8%). 86.4% of the respondents were willing to give priority to the use of national essential drugs. "access to training and guidance on the use of essential drugs" stipulated the use rate of essential drugs in primary health care institutions, "increased publicity of the national essential drug system" Regular evaluation of physicians' prescriptions ", While 13.6% were unwilling to give priority to the use of national essential drugs. The top four reasons were "lack of confidence in the use of essential drugs," poor access to essential drugs, "fear of medical malpractice caused by prescription essential drugs." Cause a medical dispute "do not know what are essential drugs." Conclusion: the cognition and implementation of national essential drug system by primary level doctors in Luzhou City need to be further strengthened, which is related to their participation in national essential drug knowledge training or learning, and the effect is not obvious. At the same time also with the government's related supporting policies are not perfect.
【作者单位】：西南医科大学人文与管理学院;
【基金】：国家级大学生创业项目(No.201310632007) 四川省教育厅项目(No.15SB0100) 泸州医学院科研课题(No.2012SK-03)
【分类号】：R95

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