乡镇卫生院医生对国家基本药物制度的认知状况分析

Investigation of the Cognition of the Essential Drug System among the Township Hospital Doctors

目的了解基层医生对国家基本药物制度的认知情况。方法随机抽取江西省南昌县、重庆市渝北区、四川省新津县的共432名乡镇卫生院基层医生进行问卷调查,同时对相关人员进行深度访谈。结果回收有效问卷385份,被调查者中,79.24%认为实施基本药物制度后处方金额有所减少,甚至明显减少;有66.9%认为国家基本药物目录基本符合当地情况;91.55%认为国家基本药物目录的出台对其行医有一定帮助;基本药物制度满意率为87.4%。结论基层医生对基本药物制度接受程度较高,但基本药物制度的相关培训仍然不到位,基药实施后财政补偿不到位导致乡镇卫生院收入减少。对基层医疗机构进行综合改革,建立长效的补偿机制和激励机制是开展基层卫生服务的必由之路。

Objectives To investigate the cognition of the national essential drug system among township hospital doctors. Methods Random sampling method was used to investigate the cognition of 432 primary doctors on National Essential Drug System in Nanchang County, Jiangxi Province, Yubei District, Chongqing City and Xinjin County, Si chuan Province. A depth interview was conducted among relevant personnel. Results 385 valid questionnaires were collected, 79.24% of the doctors believed that prescription amount decreased slightly or even significantly reduced after performing the national essential drug system; 66.9 % believed that the national essential drug list were basically in line with the local conditions; 91.55% felt that the introduction of the national essential drugs list was help- ful for their medical practice; the satisfaction rate of the essential drug system was 87.4%. Conclusions Primary care doctors have a higher degree of acceptance on the national essential drug system, but related training is still not in place. The implementation of the system leads to less income of the township hospitals. Comprehensive reform and the establishment of long-term compensation and incentive mechanisms is the only way for the primary care in stitutions.