基层医疗机构在执行《处方管理办法》过程中存在的问题调查与思考

Survey and Perspectives on the Problems Existing in the Primary Level Medical Institution in Implementing Prescription Administrative Policy

目的:推动《处方管理办法》(以下简称《办法》)的贯彻实施,为卫生行政部门完善处方管理提供依据。方法:对14家基层医疗机构的218份医护人员的调查问卷进行对《办法》的认知度、处方标准等《办法》实施情况的综合分析。结果:调查发现,医护人员对《办法》中的处方标准的知晓率为36·7%,对开处方使用药品通用名称的知晓率为35·78%;仅有36·36%的医疗机构使用标准的急诊处方和儿科处方,47·76%的医疗机构对医师的签名进行留样。结论:《办法》在基层医疗机构实施较差,应加强医务人员的教育培训,同时卫生行政部门应加强行政领导与指导,并针对医疗机构提出的困惑出台相关的政策和实施细则,才能更好地实施《办法》。

OBJECTIVE,, To facilitate the implementation of Prescription Administrative Policy （＂Policy＂ for short）, and provide basis for Medical Administrative Departments to perfect prescription management. METHODS： 218 questionnaires collected from medical staffs in 14 primary level hospitals were subjected to an aggregate analysis in respect of their cognition on the ＂Policy＂, prescription standards and the enforcement condition of the ＂Policy＂ . RESULTS： Of the 218 medical staff, 36.7% had the knowledge on prescription standards in ＂Policy＂ medicines. Among the 14 primary level medical institutions, paediatric prescriptions, and 47.76% kept samples of doctors＇ , 35.78% had the knowledge of generic names of the prescribed only 36.36% used the standard emergency prescriptions and signatures. CONCLUSIONS： The ＂Policy＂ was poorly implemented in the primary level medical institution. Therefore, it is necessary to strengthen the education and training of the medical staff, meanwhile the Medical Administrative Departments should strengthen their administrative leadership and guidance, and put forward the relevant policy and bylaws aimed at the confusions existing with the medical institutes so as to facilitate a better implementation of the Policy.