安徽省县级医院医生处方基本药物影响因素分析  

Analysis of influencing factors for doctors＇ prescription of essential medicines at county hospitals in Anhui province

作　　者：王珩[1] 赵允伍 李念念[1] 徐舒曼[3] 吴静雅[4] 卞城 

机构地区：[1]安徽医科大学第一附属医院,合肥230022 [2]安徽医科大学卫生管理学院 [3]广东省妇幼保健院 [4]安徽医科大学第四附属医院

出　　处：《中华医院管理杂志》2016年第2期151-154,共4页Chinese Journal of Hospital Administration

基　　金：安徽省自然科学基金项目（1408085MG143）;安徽省高等学校2013年度省级自然科学研究重点项目（KJ2013A162）

摘　　要：目的分析安徽省县级公立医院医生处方基本药物影响因素。方法采用多阶段随机抽样方法对安徽省9家县级公立医院医生进行问卷调查，运用SPSS16．0进行描述性统计分析、卡方检验和二元logistic回归分析。结果50．8％的医生基本药物处方比例低于60％，从医时间、月平均收入、政策认知、基本药物认同度、培训意愿、培训次数、医院支持、用药偏好、药品营销是医生处方基本药物影响因素。结论县级医院基本药物使用率仍较低，应采取针对性的综合干预措施促进县级公立医院医生优先处方基本药物。Objective To analyze the influencing factors for doctors＇ prescription of essentialmedicines at county hospitals of Anhui province. Methods Multi-stage random sampling method was designed to conduct an investigation for doctors at nine county hospitals in Anhui province, and SPSS 16.0 was used to conduct descriptive statistical, chi-square test and binary logistic regression. Results 50.8% respondents reported that they had prescribed essential medicines with the rate of less than 60%. The factors of doctors＇ prescription for essential medicines are work experience, average monthly income, policy awareness, recognition, training willingness, training times, hospital support, medication preferences, and drug marketing. Conclusion The prescription rate of essential medicines in the sampled hospitals is low, and the targeted comprehensive intervention measures should be taken to promote prescription rate of essential medicines in county hospitals.

关 键 词：基本药物 县级医院 处方 影响因素 

分 类 号：R197.3[医药卫生—卫生事业管理]