CAJ | 학술논문

目的：了解郑州市不同级别医院门诊患者就诊后的购药行为及其影响因素。方法：采用结构式问卷法，调查郑州市三级、二级和社区医院的1087名门诊患者，利用SPSS16．0软件对数据进行描述性分析和卡方检验。结果：13．89％的患者就诊后在医院外面的药店购药，86．11％的患者在医院药房购药。患者不愿意在药店购药的原因有：不能报销、对药品质量不放心、没有所要购买的药、医院人为限制、基本药物“零差率”销售限制、外出购药意识不强等。结论：绝大多数患者在医院购药，不利于处方分散和医药分开。需对现行医疗保障制度进行完善，提高药店药品质量，完善医药厂商销售体制，改变医院收入来源结构，加强患者持方外购的意识，以利于处方流动。
목적：료해정주시불동급별의원문진환자취진후적구약행위급기영향인소。방법：채용결구식문권법，조사정주시삼급、이급화사구의원적1087명문진환자，이용SPSS16．0연건대수거진행묘술성분석화잡방검험。결과：13．89％적환자취진후재의원외면적약점구약，86．11％적환자재의원약방구약。환자불원의재약점구약적원인유：불능보소、대약품질량불방심、몰유소요구매적약、의원인위한제、기본약물“령차솔”소수한제、외출구약의식불강등。결론：절대다수환자재의원구약，불리우처방분산화의약분개。수대현행의료보장제도진행완선，제고약점약품질량，완선의약엄상소수체제，개변의원수입래원결구，가강환자지방외구적의식，이리우처방류동。
Objective:To understand the prescription filling behavior of outpatients, and its influencing factors under different level hospitals in Zhengzhou.Methods: The data was collected by surveying 1,087 outpatients from primary health center, secondary and tertiary hospitals in Zhengzhou.Quantitative data was used descriptive analysis and chi-square test with SPSS16.0.Results: There are only 13.89% respondents who filled prescription at retail pharmacy outside hospitals and 86.11% respondents who filled prescription in hospital pharmacy after seeing the doctors.The related factors of which influence behaviors of prescription filling of outpatients include: patients can't get compensation from health insurance foundation if prescriptions been filled out of hospital, patients worried about the quality of the drugs sold in retail pharmacy.Conclu-sion: The phenomenon of prescription highly concentrated in hospital impeded the separation of prescription .We can promote prescription outflow from hospitals by reforming our current health care system, thereby achieve the goal of separation of prescription and dispensing.