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乡村医生对基本药物政策认知和评价及对策研究

ISSN号：1007-9572
期刊名称：中国全科医学
时间：2014.7.5
页码：2277-2280
分类：R197[医药卫生—卫生事业管理;医药卫生—公共卫生与预防医学]
作者机构：[1]潍坊医学院管理学院,山东省潍坊市261053
相关基金：国家自然科学基金资助项目：我国基本药物制度实施影响评估与政策优化研究--以山东省为例（71173158）;新医改形势下乡村医生发展研究（71373182）
相关项目：我国基本药物制度实施影响评估与政策优化研究- - 以山东省为例

关键词：乡村医生, 基本药物政策, 认知, Rural doctors, Essential drugs policy, Cognitive

中文摘要：

目的：了解乡村医生对基本药物政策的认知及评价情况，探讨存在的问题及其产生的原因，并提出对策建议。方法2012年7月，采用课题组设计的《村卫生室乡村医生调查问卷》和《乡村医生访谈提纲》对134所村卫生室的621名医生进行调查。调查内容主要包括乡村医生对国家基本药物政策的知晓情况、乡村医生对基本药物的评价及乡村医生对国家基本药物政策的满意度情况等。结果乡村医生对基本药物临床应用指南（35.6%，221/621）和基本药物处方集（33.5%，208/621）的知晓率低；多数乡村医生认可基本药物质量、疗效和价格，但反映基本药物供应不及时（42.2%，262/621）；对政府财政补贴额度（24.5%，152/621）、补贴方式（31.3%，195/621）及个人收入（7.6%，47/621）的满意度较低。结论乡村医生对基本药物政策部分项目的认知和评价不高，应加强基本药物临床应用指南和基本药物处方集的培训；结合患者需求合理调整基本药物的目录，保证基本药物供应的及时性；合理设计乡村医生的薪酬分配机制，包括分配过程和分配结果两方面。

英文摘要：

Objective To understand rural doctors＇ knowledge of essential drug policy and their cognitive evaluation, explore the existing problems and its reasons and put forward some countermeasures. Methods 134 village clinics and 621 village doctors were investigated about their awareness of national essential drug policy,their evaluation on the policy and their satisfaction with the policy as well as its implementing situation by the self-designed Village Clinics and Village Doctors Questionnaire and Village Doctors Interview Outline in July 2012. Results Village doctors＇ awareness rate of basic drug application guideline （35. 6%,221/621）and prescription formularies of basic drugs（33. 5%,208/621）was low. Most of the rural doctors recognized the quality,curative effect and price of essential drugs,but they also expressed their low dissatisfaction：not timely basic drug supply （ 42. 2%, 262/621 ）, the amount of government finance subsidies （ 24. 5%, 152/621 ）, the subsidy ways （31. 3%,195/621）and personal income（7. 6%,47/621）. Conclusion Doctors practicing in rural areas need to enhance their recognition and evaluation on programs concerning the policy of essential medicines. We should increase the training of clinical application guidelines and the basic prescription formularies of basic drugs,reasonably adjust basic drug contents in response to the patients＇ needs to guarantee timely supply of essential drugs and design salary distribution mechanism of rural doctors,including the distribution process and distribution results.

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