CAJ | 학술논문

目的了解南通6县(市、区)乡镇卫生院医生对基本药物制度的评价,讨论不同所有制下基本药物制度的实施效果.方法设计调查问卷,采用分层整群随机抽样选取卫生院,对其中医生进行问卷调查；对各县卫生局、卫生院负责人深入访谈.结果基本药物制度实施后,如皋市、如东县、海安县3个县(市、区)94.6％的医生认为化验检查数量增加,通州区、启东市和海门市3个县(市、区)23.3％的医生认为工作积极性明显上升.结论建议完善补偿机制,从而保障财政补助及时到位；加强监督管理,从而保证基层用药需求；加强技能培训,从而提高医疗服务能力.
목적 료해남통6현(시、구)향진위생원의생대기본약물제도적평개,토론불동소유제하기본약물제도적실시효과.방법 설계조사문권,채용분층정군수궤추양선취위생원,대기중의생진행문권조사；대각현위생국、위생원부책인심입방담.결과 기본약물제도실시후,여고시、여동현、해안현3개현(시、구)94.6％적의생인위화험검사수량증가,통주구、계동시화해문시3개현(시、구)23.3％적의생인위공작적겁성명현상승.결론 건의완선보상궤제,종이보장재정보조급시도위；가강감독관리,종이보증기층용약수구；가강기능배훈,종이제고의료복무능력.
Objective To understand the comments for the essential drug system by doctors at township health centers in Nantong's six counties and to discuss the effect of implementing the essential drug system to different ownership systems.Methods The survey was made with stratified clusters random sampling method to select township health centers.Questionnaires were filled out by doctors,and leaders of the health bureau and township health centers were interviewed.Results After the implementation of the essential drug system,94.6％of the doctors found that the number of laboratory examinations increased in Rugao,Rudong and Haian.23.2％of the doctors in Tongzhou,Qidong and Haimen found that enthusiasm for work increased.Conclusion The compensation mechanism should be perfected and the financial subsidies should be paid in time.Supervision and management should be strengthened and the grassroots need for medicine be ensured.The skills training should be enhanced and the medical service ability be improved.