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目的:了解上海市各级医疗机构的就医人员对基本药物的认知和使用基本药物的意愿。方法:按上海市高、中、低经济水平采用分层整群随机抽样的方法选择三个区,每个区3家社区卫生服务中心,1家二级医疗机构,1家三级医疗机构,共15家医疗机构,对各抽样医疗机构的就医人员采取问卷调查,对1125份有效问卷进行统计分析。结果:就医人员对基本药物的知晓率较低,存在认知偏差,社区基本药物配备基本满足用药需求,医务人员在引导患者使用基本药物中起着较大的作用。结论:上海市还需加强基本药物知识的宣传,发挥医务人员的引导作用,推进基本药物制度的实施。
OBJECTIVE: To understand the awareness of the medical staff in Shanghai medical institutions at all levels and their willingness to use essential medicines. Methods: Three districts, three community health service centers in each district, one secondary medical institution and one tertiary medical institution were chosen according to the high, medium and low economic level in Shanghai. A total of 15 medical institutions, medical institutions in each sample of medical staff to take a questionnaire survey of 1125 valid questionnaires for statistical analysis. Results: The awareness rate of medical staff on basic medicines was low, there was a cognitive bias, and the basic medical supplies in the community basically met the needs of medical use. Medical staff played a greater role in guiding patients to use basic medicines. Conclusion: Shanghai needs to further publicize the knowledge of essential medicines, give full play to the guiding role of medical staff and promote the implementation of the basic drug system.