中文摘要：

目的：研究基本药物制度背景下社区医生用药指导的不同类型，并分析其影响因素。方法采用 SPSS 19.0软件对收集的数据进行统计学分析，通过个人意愿和实际行动2个维度对医生用药指导行为打分，结合重要象限法将社区医生的用药指导行为划分为不同类型，并采用多元线性回归研究其影响因素。结果所调查的14个县区的社区医生大多落在“高意愿，少行动”区域，少数落在“高意愿，多行动”区域；社区医生用药指导的个人意愿的主要影响因素包括对工作自主权的影响、对基本药物制度关注度、提高收入的形式3个方面，实际行动的主要因素包括对基本药物的了解程度、对基本药物目录的了解程度、培训效果3个方面。结论目前社区医生在基本药物相关的用药指导方面具有较高的个人意愿，但只有很少一部分将其落实到实际工作中，需要通过一些措施强化医生进行用药指导的意愿并使之付诸行动。

英文摘要：

Objective To study the different types of medication guidance for community doctors in the context of essential medicine system,and analyze its influencing factors.Methods SPSS 1 9.0 was called into play for statistical analysis of data gathered,and the medication guidance behavior of the doctors were graded on the two dimensions of personal willingness and practical action.With important quadrant method,the medication guidance behavior of such doctors was classified,while the multiple linear regression was used to study the influencing factors.Results Most of the community doctors of the fourteen counties fall into the area of “high willingness and less action”,with only a few falling into the area of the “high willingness and more action”. Major influencing factors of their willingness on medication guide were found to include impacts on job autonomy,attention to essential medicine system, and the forms to improve income.Major factors of the doctors＆#39;actions on medication guide include awareness of essential medicines,awareness of essential medicines catalog,and training outcomes. Conclusion The community doctors have high personal willingness for medication guidance related to essential medicines,but only a number of them carried it in their work.Therefore,it is necessary to take actions to strengthen awareness of the doctors for medication guidance and encourage them to carry it out.