中华医院管理杂志
中華醫院管理雜誌
중화의원관리잡지
Chinese Journal of Hospital Administration
2015年
10期
737-741
,共5页
赵延奎%尹文强%于倩倩%魏艳%胡式良%胡金伟%郭洪伟%孙葵%黄冬梅
趙延奎%尹文彊%于倩倩%魏豔%鬍式良%鬍金偉%郭洪偉%孫葵%黃鼕梅
조연규%윤문강%우천천%위염%호식량%호금위%곽홍위%손규%황동매
基本药物制度%乡村医生%合理用药%影响因素%计划行为理论
基本藥物製度%鄉村醫生%閤理用藥%影響因素%計劃行為理論
기본약물제도%향촌의생%합리용약%영향인소%계화행위이론
Essential medicine system%Rural doctors%Rational drug use%Influence factors%Theory of planned behavior
目的:分析乡村医生合理用药现状,探讨其影响因素和作用机理。方法通过处方、问卷和访谈获取资料,分层随机抽取山东省5市621名乡村医生进行调查,并分析有效处方3091张,了解乡村医生合理用药影响因素。结果基本药物制度实施后,乡村医生合理用药处方指标有明显改善,抗生素使用率从65.4%下降至62.2%;乡村医生职业素质及合理用药相关培训效果、一体化管理水平、基本药物目录、患者对制度的认可程度及服务满意度,是乡村医生合理用药的主要影响因素。结论通过完善国家基本药物制度和相关政策、强化乡村一体化管理和业务技术培训、加强基本药物政策宣传、营造有利于乡村医生合理用药的执业环境等,可影响乡村医生的行为态度、主观规范和知觉控制,促进合理用药。
目的:分析鄉村醫生閤理用藥現狀,探討其影響因素和作用機理。方法通過處方、問捲和訪談穫取資料,分層隨機抽取山東省5市621名鄉村醫生進行調查,併分析有效處方3091張,瞭解鄉村醫生閤理用藥影響因素。結果基本藥物製度實施後,鄉村醫生閤理用藥處方指標有明顯改善,抗生素使用率從65.4%下降至62.2%;鄉村醫生職業素質及閤理用藥相關培訓效果、一體化管理水平、基本藥物目錄、患者對製度的認可程度及服務滿意度,是鄉村醫生閤理用藥的主要影響因素。結論通過完善國傢基本藥物製度和相關政策、彊化鄉村一體化管理和業務技術培訓、加彊基本藥物政策宣傳、營造有利于鄉村醫生閤理用藥的執業環境等,可影響鄉村醫生的行為態度、主觀規範和知覺控製,促進閤理用藥。
목적:분석향촌의생합리용약현상,탐토기영향인소화작용궤리。방법통과처방、문권화방담획취자료,분층수궤추취산동성5시621명향촌의생진행조사,병분석유효처방3091장,료해향촌의생합리용약영향인소。결과기본약물제도실시후,향촌의생합리용약처방지표유명현개선,항생소사용솔종65.4%하강지62.2%;향촌의생직업소질급합리용약상관배훈효과、일체화관리수평、기본약물목록、환자대제도적인가정도급복무만의도,시향촌의생합리용약적주요영향인소。결론통과완선국가기본약물제도화상관정책、강화향촌일체화관리화업무기술배훈、가강기본약물정책선전、영조유리우향촌의생합리용약적집업배경등,가영향향촌의생적행위태도、주관규범화지각공제,촉진합리용약。
Objective To analyze the present rational use of rural doctors,and explore the influence factors and mechanism of action.Methods 621 rural doctors from five cities of Shandong province were surveyed in a stratified random sampling,by means of prescription,questionnaire and interview,along with analysis of 3 091 valid prescriptions to learn such influence factors.Results The essential medicine system has effectively enhanced the indicators of rational drug use of rural doctors,as evidenced by a drop of antibiotics use from 65.4% to 62.2%.Main influence factors for such change include rural doctors'professionalism,training of policy and rational drug use,integrated management,the essential medicine list,the degree of patients'satisfaction and recognition of the essential medicine system. Conclusion Perfection of the regulations and policies of the system,strengthening of integrated management and training of medicine policy and medical technology,creation of an environment for them to prescribe rationally,can encourage their behavioral attitude,subjective norms and perceived behavioral control,so as to promote rational drug use.