四川省公共卫生医师对处方权认知的调查  

Investigation on the cognition of prescription right by public health doctors in Sichuan Province

作　　者：王卓[1] 邹锟 曾智 查雨欣 何予晋 胡狄慧 秦小雲 左根永 唐尚峰 刘毅 杨艾茜 陈建 李佳圆 陈芙君 杨珉 吴先萍[1] 钟波[1] WANG Zhuo;ZOU Kun;ZENG Zhi;CHA Yu-xin;HE Yu-jin;HU Di-hui;QIN Xiao-yun;ZUO Gen-yong;TANG Shang-feng;LIU Yi;YANG Ai-qian;CHEN Jian;LI Jia-yuan;CHEN Fu-jun;YANG Min;WU Xian-ping;ZHONG Bo(Sichuan Center for Disease Control and Prevention,Chengdu,Sichuan 610041,China;不详)

机构地区：[1]四川省疾病预防控制中心,四川成都610041 [2]四川大学华西第二医院/华西妇产儿童医院 [3]中国疾病预防控制中心 [4]山东大学公共卫生学院/山东大学卫生管理和政策研究中心 [5]华中科技大学医药卫生管理学院 [6]四川大学华西公共卫生学院/华西第四医院 [7]成都医学院公共卫生学院

出　　处：《现代预防医学》2024年第9期1649-1653,1707,共6页Modern Preventive Medicine

摘　　要：目的了解公共卫生医师群体对处方权的态度,为进一步探索赋予公共卫生医师处方权的政策制定和推动提供支撑和参考。方法采用关键人物法和滚雪球法,对四川省各级疾病预防控制中心、医院、妇幼保健院、基层医疗机构、专业公共卫生等多类机构的公共卫生医师开展在线横断面问卷调查。对246份问卷关于公卫医师对处方权现状、认知、影响、态度和建议进行定性、定量分析。结果约95%的参与者支持赋予公共卫生医师处方权,认为赋予处方权是对公共卫生“医师”身份认同的标志,可以促进防治结合,提升公共卫生体系的工作效率和质量,促进公共卫生医师医学专业能力提升,从而改善公共卫生工作的质量和效果;而没有处方权会降低医学同行对公共卫生医师医学专业性的认可以及公共卫生医师开展公共卫生工作的效果。对不同形式的处方权获得方式,多数参与者表示愿意接受。结论公共卫生医师群体对处方权的需求意愿高,认为推行公共卫生医师处方权是改善公共卫生医师医防分离现状,推动公共卫生医师高质量发展的一项重要措施。Objective To understand the attitude of public health physicians towards prescription rights,and to provide support and reference for further exploring the policy formulation and promotion of public health physicians’prescription rights.Methods By using the key person method and snowball method,an online cross-sectional questionnaire survey was conducted among public health doctors in all levels of disease prevention and control centers,hospitals,maternal and child health hospitals,grass-roots medical institutions,professional public health and other institutions in Sichuan Province.A total of 246 questionnaires about the current situation,cognition,influence,attitude,and suggestions of public health doctors on prescription rights were qualitatively and quantitatively analyzed.Results About 95%of the participants supported to give public health doctors the right of prescription,which was a sign of the identity of public health“doctors”,which could promote the integration of prevention and treatment,improve the efficiency and quality of the public health system,and improve the medical professional ability of public health doctors,so as to improve the quality and effect of public health.The lack of prescription power would reduce the medical professional recognition of public health physicians and the effectiveness of public health doctors in undertaking public health work.Most participants expressed their willingness to accept different forms of prescription rights.Conclusion The community of public health doctors has a high demand for prescription rights,and it is considered that the implementation of prescription rights of public health doctors is an important measure to improve the current situation of the separation of medical treatment and prevention of public health doctors and promote the high-quality development of public health doctors.

关 键 词：公共卫生 医师 处方权 横断面调查 

分 类 号：R195[医药卫生—卫生统计学]