四川省10个地市227家基层医疗卫生机构公共卫生执业医师处方权认知与态度调查  

Survey on the cognition and attitudes of prescription rights of public health physicians in 227 primary healthcare institutions in 10 cities of Sichuan Province

作　　者：严次玲 邹锟 王卓[3] 邱培媛[4] 李佳圆[4] 陈芙君 杨珉[4] YAN Ciling;ZOU Kun;WANG Zhuo;QIU Peiyuan;LI Jiayuan;CHEN Fujun;YANG Min(Township Public Health Center in Shanquan Town of Longquanyi District,Chengdu 610100,Sichuan Province,China;Department of Pharmacy/Evidence-Based Pharmacy Center,West China Second University Hospital,Sichuan University,Chengdu 610041,Sichuan Province,China;Sichuan Center for Disease Control and Prevention,Chengdu 610041,Sichuan Province,China;West China School of Public Health and West China Fourth Hospital,Sichuan University,Chengdu 610041,Sichuan Province,China)

机构地区：[1]四川省成都市龙泉驿区山泉镇公立卫生院,成都610100 [2]四川大学华西第二医院/四川大学妇女儿童医院,成都610041 [3]四川省疾病预防控制中心,成都610041 [4]四川大学华西公共卫生学院/四川大学华西第四医院,成都610041

出　　处：《预防医学情报杂志》2025年第3期384-390,共7页Journal of Preventive Medicine Information

基　　金：中华医学基金项目(项目编号:GRANT16-252)。

摘　　要：目的了解四川省基层医疗机构公共卫生医师拥有处方权的现状、认知和态度,为卫生主管部门制定公共卫生医师处方权相关政策提供参考。方法采用受访者驱动抽样,使用在线问卷,2023年11月至2024年1月对在四川省成都市等10个地市州227家基层医疗机构工作的公共卫生医师开展公共卫生医师处方权的现状、认知、态度调查。研究采用软件Nvivo 12.0绘制词频定性、软件SPSS 21.0统计均数定量分析基层医疗机构公共卫生医师的处方权现状、影响、认知、态度和建议。结果参与者对公共卫生医师处方权的支持率为99.12%,普遍认为处方权是对公共卫生医师身份认同的标志(98.68%),认为缺失处方权会影响患者信任依从(96.92%)、降低医学同行对公共卫生医师医学专业性的认可(97.80%)和公共卫生医师开展公共卫生工作的效果(97.80%)。参与者认为授予处方权可促进防治结合,促进人群健康水平提升(98.68%);促进公共卫生医师医学专业能力提升,改善公共卫生工作效率、质量和效果(93.83%)。参与者支持通过上级医院进修学习(98.24%)、或全科医师转岗培训(96.04%)、或公共卫生医师规范化培训(97.36%)考核合格后授予处方权。结论四川省基层医疗机构公共卫生医师群体普遍支持授予处方权,认为确认公共卫生医师处方权可以在基层发挥极大作用,促进医防融合,是增强基层医疗卫生服务效率和质量的一项重要举措。Objective To understand the current situation,cognition and attitude of public health physicians with prescription rights in grassroots medical institutions in Sichuan Province,and to provide reference for the formulation of policies related to prescription rights for public health physicians.Methods By using respondent driven sampling,an cross-sectional survey was conducted using online questionnaire on public health physicians working in 227 primary healthcare institutions in 10 cities and prefectures of Chengdu,Sichuan Province.The study used Nvivo 12.0 software to draw word frequency qualitative analysis and SPSS 21.0 software to quantitatively analyze the current status,impact,cognition,attitude and suggestions of prescription rights of public health physicians in primary healthcare institutions.Results The support rate of participants for the prescription rights of public health physicians was 99.12%.It was widely believed that prescription right was a symbol of identity as public health“physicians”(98.68%).The lack of prescription rights can affect patient trust and compliance(96.92%),reduce medical peers'recognition of the medical professionalism of public health physicians(97.80%),and the effectiveness of public health physicians in carrying out public health work(97.80%).Participants believed that granting prescription rights can promote the combination of prevention and treatment,and improve the health level of the population(98.68%);Promote the improvement of the medical professional competence of public health physicians,and enhance the efficiency,quality,and effectiveness of public health work(93.83%).Participants supported granting prescription rights after passing higher-level hospital training(98.24%),general practitioner transfer training(96.04%),or standardized training for public health physicians(97.36%).Conclusions The community of public health physicians in grassroots medical institutions in Sichuan Province generally supports granting prescription rights,believing that confirming the

关 键 词：基层医疗卫生机构 公共卫生 医师 处方权 横断面调查 

分 类 号：R197.32[医药卫生—卫生事业管理]