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目的了解广东省广州和深圳市社区医务人员对国家基本药物制度的知信行情况,为有效地实施该制度提供科学依据。方法对广州和深圳市共30家社区卫生服务机构的504名医务人员进行问卷调查。结果认知情况:被调查的504名社区医务人员中,有324人(64.8%)认为本单位严格实施基本药物制度,深圳的比例(74.6%)高于广州(42.9%),差异有统计学意义(χ2=55.636,P<0.001),278人(55.3%)对该制度了解一些,398人(79.4%)知道基本药物范围内的部分药物;回答正确率:知晓国家基本药物实施时间的占44.5%,知晓基本药物数量的占56.9%,知晓广东省基本药物增补品种目录(2010年版)增补数量的占38.1%,两地比较差异均有统计学意义(P<0.01);相关行为:开处方时,有412人(86.2%)愿意为患者使用基本药物,制度实施前有279人(61.9%)以药物的效果为主,实施后有187人(41.6%)多数情况会考虑用基本药物,在日常的医疗活动中,31.6%的医务人员经常宣传基本药物制度,45.6%的人偶尔宣传,48.5%的受访者认为基本药物制度实施后对他们的经济收入有影响,其中27.3%认为个人收入降低了。结论广州和深圳市社区医务人员对基本药物制度的认知情况、落实情况有待提高,应进一步加强基本药物制度的策略研究,落实基本药物制度。
Objective To understand the status quo of community medical workers in Guangzhou and Shenzhen of Guangdong Province on the state essential drug system and to provide a scientific basis for the effective implementation of the system. Methods A total of 504 health workers from 30 community health service agencies in Guangzhou and Shenzhen were surveyed. Results Cognitive situation: Among the 504 community health workers surveyed, 324 (64.8%) believed that the unit strictly implemented the essential medicine system, while the proportion of Shenzhen (74.6%) was higher than that of Guangzhou (42.9%). The difference was statistically significant (Χ2 = 55.636, P <0.001), 278 (55.3%) had some knowledge of the system, 398 (79.4%) knew some of the drugs within the scope of the essential drugs; the correct rate of answers: the percentage of those who knew the implementation time of the national essential drugs 44.5%, 56.9% were aware of the amount of essential medicines, 38.1% were aware of the supplementary quantities of catalogs of supplements of essential medicines of Guangdong Province (2010 edition), the difference between the two places was statistically significant (P <0.01); Relevant behaviors: On At the time of prescribing, 412 (86.2%) were willing to use essential medicines for their patients. Of these, 279 (61.9%) were predominantly drug-controlled before implementation and 187 (41.6%) after implementation. In most cases, basic medicines In the daily medical activities, 31.6% of the medical staffs regularly publicized the basic drug system and 45.6% reported occasional publicity while 48.5% of the respondents considered that the implementation of the basic drug system had an impact on their economic income, of which 27.3% thought Personal income is reduced. Conclusions The cognition and implementation of the basic medical system among community medical staff in Guangzhou and Shenzhen need to be improved. The strategic study on the basic drug system should be further strengthened and the basic drug system should be implemented.