对症状监测点选择的研究

A Study on Selection of Symptom Surveillance Sites

目的了解社区居民首诊就医意向和消费者对药店、药物的选择,为症状监测点的选择提供依据。方法采取问卷调查的方法,对2个社区的居民和1个药店的消费者进行调查。结果共调查116名社区居民和100名购药者。出现"发热、咳嗽"等症状时,50.86%的社区居民选择去医院,去药店的占45.69%。选择大医院的社区居民占59.48%、社区医院的占34.48%、个体诊所占5.18%、较大民营医院0.86%。药品"质量"是购药者在选择药店时优先考虑的因素,占67%,60%的购药者选择药品"价格低"的药店。结论针对"发热、咳嗽"等上呼吸道感染症状时,大型医院和社区医院是症状监测中的监测医院,大药店、连锁药店是患者优先选择的监测药店。

Objectives To investigate the intention of community residents for visiting doctors and the choose of pharmacies and drugs in Wuhan City,and to provide information for choosing symptom surveillance sites.Methods Questionnaires was distributed to two communities and one pharmacy.Results Total 116 community residents and 100 drug-purchasing consumers were investigated.When having a fever or cough,50.86% of residents would see a doctor,45.69% of residents would purchase drugs,and else do nothing.59.48% of residents would choose municipal hospital or better hospital,34.48% would choose community health organizations,5.18% clinics,and 0.86% private hospitals.Drug quality was the main factor that influence drug-purchasing consumers choosing drugs,which were chosen by 67%,and 60% would choose these pharmacies where the prices of drugs are lower,the other causes were chosen by less.Conclusions Symptom surveillance on upper-respiratory infection should choose large hospitals and community health service organizations,and large pharmacies and chain pharmacies should be chosen as monitoring sites.