目的:评价基层医疗机构用药信息透明度。方法:使用自行设计的量表,在东、中、西部地区共调查100家基层医疗机构的用药信息透明度状况。结果:透明度平均得分率32.24%,服务流程和药品目录透明度得分率较高,分别为45%和40%。患者费用负担透明度的得分率较低,为22.5%。绝大多数机构没有公开合理用药情况和医务人员绩效相关信息。信息可获得性和及时性得分率较高,分别为45.43%和40%;完整性和易理解性得分率较低,分别为26.60%和22.14%。东、中、西地区的透明度得分存在显著差异,东部最高、西部最低。结论:基层医疗机构用药信息透明度较低,信息透明的内容有所侧重,对病人费用负担以及药品使用绩效信息的透明不足,信息的完整性和可理解有待提高,地区分布可能影响用药信息透明度。
Objective To evaluate the transparency of medicine-using information in primary healthcare institutions. Methods The status of transparency of medicine-using information in 100 cases of primary heahhcare institutions in eastern, central and west- ern China was surveyed with self-designed scale. Results Tbe average scoring rate of transparency was only 32.24%. Higher scores were in service process and medicine catalogue, which were 45% and 40%. And lower score was in patients' burden on medical cost ,which was 22.5%. The status of rational drug-use and medical staffs' performance was not publicized in most of healthcare in- stitutions. The scores of information availability and timeliness were higher as 45.43% and 40%. And the scores of completeness and understandability were lower as 26.60% and 22.14%. There had significantly different scores among different regions. Conclu- sion The transparency score of medicine-use information was lower in primary health care institutions with unbalanced contents.