CAJ | 학술논문

目的：：了解北京、郑州、广州三个城市医院门诊患者购药行为、处方流向及影响因素。方法：采用结构式问卷，分别选取北京、郑州、广州市三级医院、二级医院、社区卫生服务中心各一家，对其患者进行调查，获得有效问卷3155份，利用SAS9．3软件进行Logistic回归分析。结果：患者所在地区、就诊医院的级别、患者享有的医保类别、外购的意愿、去药店购药频率等对患者就诊后的购药行为有影响。结论：完善医疗保险对药店的支付制度，规范医院与药店的供货渠道以使医院与药店的品种一致，加强宣传教育以提高患者持方外购意识等措施有助于处方流动，促进医药分开。
목적：：료해북경、정주、엄주삼개성시의원문진환자구약행위、처방류향급영향인소。방법：채용결구식문권，분별선취북경、정주、엄주시삼급의원、이급의원、사구위생복무중심각일가，대기환자진행조사，획득유효문권3155빈，이용SAS9．3연건진행Logistic회귀분석。결과：환자소재지구、취진의원적급별、환자향유적의보유별、외구적의원、거약점구약빈솔등대환자취진후적구약행위유영향。결론：완선의료보험대약점적지부제도，규범의원여약점적공화거도이사의원여약점적품충일치，가강선전교육이제고환자지방외구의식등조시유조우처방류동，촉진의약분개。
Objective:To understand the drug purchase behaviors and prescription flows of outpatients and their influencing factors. Methods: After selecting and investigating tertiary hospitals, secondary hospitals, community health service centers ( one per each level) in Beijing, Zhengzhou, Guangzhou, this paper uses structured question-naire method to analyze 3,155 valid questionnaires. A logistic regression analysis is performed to understand the fac-tors influencing the drug purchase behaviors. Results:The factors influencing the drug purchase behaviors of outpa-tients mainly include the region where the patient is, level of the hospital, type of health insurance that the patient has, frequency of drug purchase, etc. Conclusions: This paper suggests hospital administrators to take measures to improve prescription flows, such as reforming the health care insurance to make payment system more suitable for pharmacies standardizing supply channels in order to make varieties consistent between hospitals and pharmacies, strengthening education and publicity to raise the outpatients’ awareness for drug purchase outside of hospitals, etc.