广州和深圳市社区医务人员基本药物制度知信行调查  

KAP for institution of national basic drugs among medical staff in community hospitals of Guangzhou and Shenzhen city

作　　者：黄燕惠[1] 余昌泽[2] 王家骥[2] 俞守义[1] 周志衡[2] 

机构地区：[1]南方医科大学公共卫生与热带医学学院流行病学系,广东广州510515 [2]广州医学院公共卫生学院

出　　处：《中国公共卫生》2013年第3期425-429,共5页Chinese Journal of Public Health

基　　金：国家科技支撑计划分课题(2009BAI76B030413)

摘　　要：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 explore the cognition and related behavior of institution of national basic drugs （NBD） in community medical staff in Guangzhou and Shenzhen city and to provide basis for effective implementation of NBD in community. Methods Totally 504 medical staff from 30 community health service institutions （CHSI） in Guangzhou and Shenzhen city were investigated with a questionnaire. Results Among the staff,324（64. 8% ） considered that the institution of NBD was implemented strictly in the hospitals they worked in and there were more staff in Shenzhen （74. 6% ） held the consideration than in Guangzhou （42. 9% ） （X2 = 55.636, P 〈 0. 001 ）. Among the 504 community medical staff, 278 （55.3 % ） had some knowledge about NBD system and 398 （79. 4% ） knew some drugs belonged to the institution of NBD. The correct answer rate was 44. 5 % for implementary time of NBD,56. 9 % for the number of NBD,and 38.1% for the supplementation of NBD in Guangdong province in 2010;there were significant differences in the rates between Guangzhou and Shenzhen. Among the staff,412 （86. 2% ） reported the willingness of prescribing NBD to the patients,279 （61.9%） prescribed medicine according to the treatment effect of the drugs before the implementation of NBD, 187 （41.6%） reported prescribing NBD most of the time. In regular medical service,31.6% of the staff provided NBD knowledge to the patients and 45.6% provided the knowledge seldomly. There were 48.5% of the staff considered that the institution of NBD had affection on their salary and 27.3% believed that the salary was decreased because of the affection of NBD implementation. Conclusion The cognition of the medical staff for NBD and implementation of NBD system in community hospitals of Guangzhou and Shenzhen city are not good. Further effective strategies should be taken to perfect the situation.

关 键 词：基本药物制度 社区卫生服务 医务人员 认知 行为 

分 类 号：R197.1[医药卫生—卫生事业管理]