不同所有制下乡镇卫生院医生对基本药物制度的认知与评价  

Cognition and evaluation of the essential drug system by doctors at township health centers of different own- ership systems

作　　者：朱敏[1] 王萱萱[1] 康琦[1] 张思冬[1] 陈家应[1] 

机构地区：[1]南京医科大学医政学院,210029

出　　处：《中华医院管理杂志》2013年第10期761-764,共4页Chinese Journal of Hospital Administration

基　　金：国家自然科学基金（71173117）

摘　　要：目的了解南通6县（市、区）乡镇卫生院医生对基本药物制度的评价，讨论不同所有制下基本药物制度的实施效果。方法设计调查问卷，采用分层整群随机抽样选取卫生院，对其中医生进行问卷调查；对各县卫生局、卫生院负责人深入访谈。结果基本药物制度实施后，如皋市、如东县、海安县3个县（市、区）94．6％的医生认为化验检查数量增加，通州区、启东市和海门市3个县（市、区）23．3％的医生认为工作积极性明显上升。结论建议完善补偿机制，从而保障财政补助及时到位；加强监督管理，从而保证基层用药需求；加强技能培训，从而提高医疗服务能力。Objective To understand the comments for the essential drug system by doctors at township health centers in Nantong＇s six counties and to discuss the effect of implementing the essential drug system to different ownership systems. Methods The survey was made with stratified clusters random sampling method to select township health centers. Questionnaires were filled out by doctors, and leaders of the health bureau and township health centers were interviewed. Results After the implementation of the essential drug system, 94. 6%of the doctors found that the number of laboratory examinations increased in Rugao, Rudong and Haian. 23.2%of the doctors in Tongzhou, Qidong and Haimen found that enthusiasm for work increased. Conclusion The compensation mechanism should be perfected and the financial subsidies should be paid in time. Supervision and management should be strengthened and the grassroots need for medicine be ensured. The skills training should be enhanced and the medical service ability be improved.

关 键 词：基本药物制度 所有制 乡镇卫生院 医生 评价 

分 类 号：R95[医药卫生—药学]