山东省农村医疗机构医生抗生素知识与行为  

Antibiotics in rural Shandong Province of China: physicians cognition and behavior

作　　者：赵凌波[1] 孙强[1] 李成[1] Malin Grape 

机构地区：[1]山东大学卫生管理与政策研究中心,济南250012 [2]瑞典传染病控制中心,斯德哥尔摩17182

出　　处：《山东大学学报（医学版）》2014年第2期101-105,共5页Journal of Shandong University:Health Sciences

基　　金：国家自然科学基金(71073098)

摘　　要：目的了解农村县(市)乡村三级医疗机构医生的抗生素相关知识和行为现状,探讨医生不合理使用抗生素的原因,为合理使用抗生素提供相关建议。方法随机抽取山东省3个县(市)188名县(市)乡村三级医疗机构医生进行问卷调查,定量分析医生的抗生素相关知识及使用行为现状,定性分析医生对目前抗生素使用过度的看法。结果定量分析显示,188名被调查医生中82.78%参加过抗生素知识培训;59.36%曾预防性使用抗生素,65.78%曾联合使用抗生素;大环内酯类和第三代头孢菌素类是基层医生最常用的抗生素类型。定性分析显示,抗生素使用过度是由医生、患者和卫生体系等多因素造成的。结论县(市)乡村三级医疗机构医生的抗生素合理使用相关知识均有待加强,尤其是村卫生室医生,而有效促进抗生素合理使用需要医生、监管方和患者多方共同努力。Objective To analyze the cognition, attitudes and behavior of rural physicians on antibiotic use and explore the reasons and solutions for irrational use of antibiotics in rural medical institutions. Methods A total of physicians were randomly sampled in rural three-level medical institutions of Shandong Province of China, and surveyed with a questionnaire. The data of physicians＇ cognition and behavior on antibiotic use and opinions of antibiotic overuse were analyzed. Results The rates of participating in antibiotic trainings, using antibiotics for prevention and using antibiot- ics jointly were 82.78%, 59.36% and 65.78% respectively. Macrolides and third-generation cephalosporin were the main types used by physicians. The overuse of antibiotics was influenced by the factors of doctors, patients, health sys- tem and so on. Conclusion It is necessary to improve physicians＇ antibiotic-related knowledge and behavior in rural three-level medical institutions, especially in village clinics. Promoting antibiotic rational use needs the joint effort of physicians, health regulators and patients.

关 键 词：医生 抗生素 知识 行为 

分 类 号：R951[医药卫生—药学]