我国处方流转现状、需求、驱动和阻碍因素调查分析  

Investigation of current situation,demand,driving and hindering factors of prescription circulation in China

作　　者：易洪彬 刘爽 胡邱铷 徐冬艳 蒯丽萍 韩晟[1,2] YI Hongbin;LIU Shuang;HU Qiuru;XU Dongyan;KUAI Liping;HAN Sheng(Intermational Research Center for Medicinal Administration,Peking University,Beijing 100191,China;School of Pharmaceutical Sciences,Peking University,Beijing 100191,China;Department of Pharmacy,Hebei North University,Hebei Zhangjiakou 075031,China;School of Public Administration and Policy,Renmin University of China,Beijing 100872,China;Science and Technology Development Center of Chinese Pharmaceutical Association,Beijing 100022,China)

机构地区：[1]北京大学医药管理国际研究中心,北京100191 [2]北京大学药学院,北京100191 [3]河北北方学院药学院,河北张家口075031 [4]中国人民大学公共管理学院,北京100872 [5]中国药学会科技开发中心,北京100022

出　　处：《中国医院药学杂志》2025年第4期363-367,共5页Chinese Journal of Hospital Pharmacy

摘　　要：目的:调查并分析我国处方流转的现状、需求、驱动和阻碍因素,为促进处方流转提供参考。方法:依托全国医药信息网的网员医院,使用方便抽样的方法对处方流转的现状与需求进行线上问卷调查。结果:共收回问卷3 826份,有效问卷3 823份。43.81%的受访者使用过处方流转;76.62%的受访者知晓处方流转;大部分受访者过去1年内使用处方流转服务的频次为1~3次(1 168人);有859人遇到过社会药店换药的行为;流转处方以慢病药品为主;使用处方流转模式购买退烧、止咳、镇痛等感冒用药的受访者最多(920人);“使用过处方流转”是处方流转概念传播的首要途径;大部分受访者具有处方流转的需求(2 189人,占比57.26%)和意愿(2 469人,占比64.58%);3 218名受访者愿意将处方流转到“医保定点的社会药店”;需求最大的是使用处方流转购买退烧、止咳、镇痛等感冒用药,共有1 465人;最主要的驱动因素是“节约医院排队取药的时间”;线下处方流转最主要的阻碍因素是受访者担心“药店的监管力度不如医院”,线上处方流转最主要的阻碍因素是“得不到用药指导服务”;职业(是否为医药从业者)会显著影响个体对处方流转的知晓、使用及需求情况。结论:我国处方流转的知晓率、使用率和需求在不断增加,但社会药店药学服务的规范化及能力水平与患者需求存在差距;医疗保险的支付、药品流通领域的监管以及药品配送安全性是影响流转开展的重要因素。OBJECTIVE To investigate and analyze the current situation,demand,driving and hindering factors of prescription circulation in China,thus providing references for promoting prescription circulation.METHODS An online questionnaire survey was conducted on the current situation and demand of prescription circulation by convenient sampling based on the network member hospital of Chinese Medical Economic Information.RESULTS A total of 3826 questionnaires were collected and 3823 were valid.43.81%of the respondents had used prescription circulation.76.62%of respondents knew the prescription circulation.Most of the respondents used prescription circulation services 1-3 times in the past year(1168 respondents);859 respondents had experienced a drug change at a social pharmacy.The circulating prescriptions were mainly chronic disease drugs.920 respondents used prescription circulation mode to buy cold medications against fever,cough and analgesia."Previous usage of a prescription circulation"was the primary way to spread the concept of prescription circulation.Most of the respondents had the demand(2189 respondents,57.26%)and willingness(2469 respondents,64.58%)of prescription circulation.3218 respondents were willing to transfer prescriptions to"social pharmacies designated by medical insurance".The largest demand(1465 respondents)was the use of prescription circulation to buy cold medications against fever,cough and analgesia.The most important driving factor was"saving time in hospital queues to pick up drugs".The main hindering factors to offline prescription circulation was respondents'concern that the supervision of pharmacies was not as strong as that of hospitals,while the main hindering factors to online prescription circulation was lack of medication guidance services.Occupation(whether it is a medical practitioner) significantly affected the awareness,use,and demand of respondents for prescription circulation.CONCLUSION The awareness rate,utilization rate and demand of prescription circulation in China are incre

关 键 词：处方流转 问卷调查 现状 需求 

分 类 号：R9544[医药卫生—药学]