实施基本药物制度对门诊患者满意度及就诊意向的影响  

The impact to the satisfaction and health seeking intention of out-patients after implementing essential medicine system

作　　者：陈瑶[1] 赵超[1] 代涛[1] 

机构地区：[1]中国医学科学院医学信息研究所/卫生政策与管理研究中心,北京100020

出　　处：《中国卫生政策研究》2013年第4期26-30,共5页Chinese Journal of Health Policy

基　　金：中澳卫生与艾滋病项目"医药卫生体制改革评价研究"

摘　　要：目的:了解实施基本药物制度后门诊患者对基本药物的价格、种类、数量及合理用药等方面的满意度,并分析对就诊意向的影响。方法:对北京市、重庆市、河南省、安徽省四个省市抽样地区的社区卫生服务中心和乡镇卫生院共3792名门诊患者进行现场问卷调查和统计分析。结果:相对于合理用药和药品价格,患者对药物种类和数量的不满意程度较高;基本药物总体满意度高对门诊患者首诊选择基层医疗卫生机构有促进作用,且这种作用有区域和城乡之间的差别;基本药物制度设计及实施过程对门诊患者满意度有明显影响。结论:调查地区门诊患者对基本药物制度总体上满意,农村高于城市,对门诊患者去基层医疗卫生机构就诊有促进作用。Objective：In this paper, we analyze the satisfaction of patients with respect to drug price, availabili- ty and range, rational use, and the impact to health seeking intention after implementing the essential medicine system. Methods： We analyzed 3 792 outpatient questionnaires of primary health institutions in Henan, Anhui, Chongqing, and Beijing. Results： The number of patients dissatisfied with drug amounts and variety was higher than with other aspects. Overall satisfaction with essential medicine has improved the patients＇ health seeking intention to primary health institutions. This differs between urban and rural areas, and the design and implementing process of the essen- tial medicine system affects outpatient satisfaction. Conclusions：We conclude that satisfaction with essential medicine is relatively high and is higher in rural areas than in urban areas. This is good for patient visit intention to primary health institutions.

关 键 词：基本药物制度 基层医疗卫生机构 满意度 就诊意向 

分 类 号：R197.3[医药卫生—卫生事业管理]