CAJ | 학술논문

[目的]了解基本药物制度实施后对村卫生室的影响。[方法]以贵州省某县村医为例，采用焦点组访谈的方法了解基本药物配送、百姓利用及村医收入变化等情况，利用NVIVO 10.0对访谈内容进行编码、归类、分析。[结果]基本药物提供的可及性不足，对减少药品费用的效果不明显，一定程度制约中医药特色的发挥；村医欠缺宣传基本药物的能力、药物提供品种与村民用药存在矛盾。[结论]需构建基本药物配送竞争机制，提高补偿水平，采取与新农合等政策捆绑宣传等策略，促进基本药物制度在基层的顺利实施。
[목적]료해기본약물제도실시후대촌위생실적영향。[방법]이귀주성모현촌의위례，채용초점조방담적방법료해기본약물배송、백성이용급촌의수입변화등정황，이용NVIVO 10.0대방담내용진행편마、귀류、분석。[결과]기본약물제공적가급성불족，대감소약품비용적효과불명현，일정정도제약중의약특색적발휘；촌의흠결선전기본약물적능력、약물제공품충여촌민용약존재모순。[결론]수구건기본약물배송경쟁궤제，제고보상수평，채취여신농합등정책곤방선전등책략，촉진기본약물제도재기층적순리실시。
ObjectiveTo know essential medicine system impact to village clinics after it carry out.Methods Took a village clinic as an example, knew the situation of essential medicine delivery, people utilization and income change of village doctors which by the method of focal group interview. Coding, classify and analysis to the content of interview by NVIVO10.0.Results Shortage of the accessibility of essential medicine providing. Unconspicuous of the effect of reducing medicine expense. Restrict the development of traditional Chinese medicine at a certain extent. Village doctors were short of the ability of essential medicine broadcast. There was contradiction between medicine varieties providing and the farmers medicine request.Conclusions It is need to build competitionmechanism of essential medicine delivery. Improve compensation level. Adopt the broadcast strategy of binding with NVMS. So as to promote successfully implement of essential medicine in grass roots.