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目的:了解浙江省基层医疗机构基本药物使用的相关情况及存在的主要问题。方法:按经济发展水平选取3个县(市、区),对社区卫生服务机构或乡镇卫生院医生开展现场问卷调查。结果:有65.1%的医生认为基本药物数量可以满足临床用药需求;认为基本药物制度对其医疗行为和用药习惯有影响的医生比例分别占71.9%和81.4%,基本药物实施后,认为向上级医院转诊患者人数增加和收入减少的比例分别占75.6%和68.5%。结论:浙江省基本药物数量基本可以满足临床用药需求,但仍存在不少问题。医生医疗用药行为改变,患者转向上级医疗机构;医生收入减少,工作积极性下降。
OBJECTIVE: To understand the related situation and the main problems in the use of essential medicines in primary medical institutions in Zhejiang Province. Methods: Three counties (cities and districts) were selected according to the level of economic development, and questionnaires were conducted on community health service agencies or township hospitals. Results: 65.1% of doctors think that the number of essential drugs can meet the demand of clinical medicine; 71.9% and 81.4% of the doctors think that the basic drug system has an impact on their medical behaviors and habits, respectively. After the implementation of basic drugs, The proportion of referral patients and income declines accounted for 75.6% and 68.5% respectively. Conclusion: The quantity of basic medicines in Zhejiang Province can basically meet the demand of clinical medication, but there are still many problems. Doctors changed the behavior of medical medication, patients turned to higher-level medical institutions; doctors reduce the income, work enthusiasm decreased.