【摘要】：目的:為進(jìn)一步推動國家基本藥物制度的實施和完善提供參考。方法:采用分層隨機(jī)抽樣法抽取四川省瀘州市的252名基層醫(yī)師,就其對國家基本藥物制度的認(rèn)知與行為進(jìn)行問卷調(diào)查,并就相關(guān)調(diào)查數(shù)據(jù)進(jìn)行統(tǒng)計和分析。結(jié)果:共發(fā)放問卷252份,回收有效問卷243份,有效回收率為96.4%。242名聽說過國家基本藥物制度的受訪者中選擇"聽說過但不清楚"的比例最高(占52.1%);149名參加過國家基本藥物知識培訓(xùn)或?qū)W習(xí)的受訪者中僅參加過"1次"的比例最高(占57.0%);受訪者對國家基本藥物制度各項常識的知曉率最高為45.0%,最低為16.5%。實施國家基本藥物制度后,受訪者中經(jīng)常向診療對象宣傳國家基本藥物制度的僅占23.1%,工作積極性、工作效率、工作量選擇"沒有變化"的比例最高(均占58.3%),認(rèn)為對臨床用藥習(xí)慣的"影響不大"的比例最高(占38.8%);受訪者中86.4%愿意優(yōu)先考慮使用國家基本藥物,排在前4位的原因依次是"可以獲得有關(guān)基本藥物使用的培訓(xùn)和指導(dǎo)""規(guī)定了基層醫(yī)療衛(wèi)生機(jī)構(gòu)基本藥物的使用率""國家基本藥物制度的宣傳力度加大""定期評價醫(yī)師的處方",而13.6%不愿意優(yōu)先考慮使用國家基本藥物,排在前4位的原因依次是"缺乏使用基本藥物的信心""基本藥物可及性太差""擔(dān)心因處方基本藥物出現(xiàn)醫(yī)療事故,引發(fā)醫(yī)療糾紛""不知道哪些是基本藥物"。結(jié)論:瀘州市基層醫(yī)師對國家基本藥物制度的認(rèn)知和貫徹落實有待進(jìn)一步加強(qiáng),這與其參與國家基本藥物知識培訓(xùn)或?qū)W習(xí)的次數(shù)較少且效果不明顯有關(guān),同時也與政府的相關(guān)配套政策不完善有一定關(guān)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.
【作者單位】： 西南醫(yī)科大學(xué)人文與管理學(xué)院;
【基金】：國家級大學(xué)生創(chuàng)業(yè)項目(No.201310632007) 四川省教育廳項目(No.15SB0100) 瀘州醫(yī)學(xué)院科研課題(No.2012SK-03)
【分類號】：R95

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