基层医务人员对国家基本药物制度认知情况的调查

Investigation of the Understanding of Primary Medical Staff on Essential Drug System

目的:了解云南省基层医务人员对国家基本药物制度的认知情况。方法:2010年9-10月对1527名云南省基层医务人员采用分层抽样法进行国家基本药物制度认知情况问卷调查,共发放问卷1680份。调查数据采用Excel软件进行统计、分析,统计指标采用构成比比较。结果:本次问卷的有效回收率为90.89%,其中72.10%的受访者参加过基本药物制度培训;37.99%的受访者认为熟悉基本药物;46.30%的受访者认为现在的基本药物目录中的品种太少,不能满足基层医疗需要;57.43%的受访者认为基本药物制度对方便群众看病、节省药费开支效果不明显;47.28%的受访者认为实施基本药物制度后收入有所减少。结论:基层医务人员对国家基本药物制度知晓率不高,认识存在误区。建议在基层医务人员中加强对国家基本药物制度的培训,完善医疗卫生机构财政补偿机制和药品"零差率"政策的配套措施,促进国家基本药物制度的实施。

OBJECTIVE： To investigate the cognition of primary medical workers in Yunnan province about the national essential drug system. METHODS： Stratified sampling method was used to investigate the cognition of 1 527 primary medical staff about the national essential drug system from Sept. to Oct. in 2010. A total of 1 680 questionnaires were delivered. Proportion was used to analyze the data through the Excel software. RESULTS： 90.89% valid questionnaires were collected, among which 72.10% of medical staff had participated in the training of essential drugs and 37.99% believed they were clearly aware of essewtial drugs; 46.30% felt that the varieties of essential drugs cannot adapt to the needs of primary health care. 57.43% felt that the system had little effect on making things convenient for patients and cutting down unnecessary expenses; 47.28% earned less. CONCLUSIONS： Primary medical staff lack of knowledge and have false recognitions about the national essential drug system. It is suggested to enhance the training about the national essential drug system among primary medical staff. The fair compensation mechanism and supporting reforms for ＂Drug Zero-profit＂ should be put forwards to improve the implementation of national essential drug system.