某市医生对国家药品集中带量采购政策的认知情况与影响因素研究  

Study on the cognition and influencing factors of national centralized drug procurement policy among doctors in a certain city

作　　者：杨睿宸 朱靓 程文闻 YANG Ruichen;ZHU Liang;CHENG Wenwen(School of Military Preventive Medicine,Air Force Medical University,Xi′an,Shaanxi 710032,China)

机构地区：[1]空军军医大学军事预防医学系,陕西西安710032

出　　处：《现代医药卫生》2025年第4期944-948,共5页Journal of Modern Medicine & Health

基　　金：陕西省重点研发计划一般项目(2023-YBSF-348)。

摘　　要：目的了解我国西安市各级医疗卫生机构医生对国家药品集中带量采购(集采)政策的认知情况,分析其主要影响因素,并提出合理化建议。方法运用自行设计的问卷对医生集采政策认知情况进行调查,应用描述性统计、χ^(2)检验、Fisher确切概率法、logistic回归分析等方法分析影响政策认知的主要因素。结果在被调查的253名医生中,“不了解”国家药品集采政策的医生有217人,占比85.77%;“了解”的医生有36人,占比14.23%。年龄、学历、医疗机构等级、工作年限、职称、政治面貌、亲属从事行业、国外经历、绩效考核、使用情况、患者询问11个自变量具有显著性(P<0.05);“是否有国外工作学习经历”“所在医院是否将集采完成情况纳入科室绩效考核”“所在科室是否使用国家集采药品”和“患者询问国家药品集采政策的频率”4项对医生集采政策认知情况有显著影响(P<0.05)。结论医生对集采政策认知情况总体较差,可通过提高医生国际视野,完善医院绩效考评,加强医生队伍药品相关政策培训,加强患者健康教育等方式提高医生对政策的认知。Objective To understand the cognition of doctors at various levels of healthcare institutions in Xi′an,China,regarding the national centralized drug procurement(bulk purchasing)policy,analyze the main factors influencing their awareness,and propose reasonable suggestions.Methods A self-designed questionnaire was used to survey the doctors′cognition of the bulk purchasing policy.Descriptive statistics,Chi-square test,Fisher′s exact test,logistic regression analysis,and other methods were applied to analyze the main factors influencing policy awareness.Results Among the 253 doctors surveyed,217(85.77%)reported“no understanding”of the national bulk purchasing policy,while 36(14.23%)reported“understanding”.The following 11 variables showed significant associations with policy awareness(P<0.05):age,education level,healthcare institution level,years of work experience,professional title,political affiliation,family members′industry,overseas experience,performance evaluation,usage,and patient inquiries.Four factors significantly affected doctors′awareness of the bulk purchasing policy(P<0.05):“whether there is overseas work/study experience”,“whether the hospital includes bulk purchasing completion in departmental performance evaluation”,“whether the department uses nationally purchased drugs”,and“the frequency of patients inquiring about the policy”.Conclusion Overall,doctors′cognition of the bulk purchasing policy is poor.This can be improved by enhancing doctors′international perspectives,improving hospital performance evaluations,strengthening drug policy training for medical staff,and enhancing patient health education.

关 键 词：国家药品集中带量采购 卫生政策 政策认知 影响因素 医生 西安 

分 类 号：R95[医药卫生—药学]