北京市“医药分开”背景下临床医师对患者用药意愿的影响研究

Research on the Effects of Clinicians to the Medication Wills of Patients under the Backgroud of “Drug and Medical Service Separation” Reform in Beijing City

目的探讨北京市"医药分开"改革背景下临床医师对患者用药意愿的影响。方法以北京市试行"医药分开"的部分医院为研究现场,于2013年6月随机抽取800名临床医师进行问卷调查,分析改革后临床医师对患者用药意愿的影响。结果被调查的临床医师中,95.9%在日常诊疗过程中遇到患者用药意愿与"医药分开"政策相悖的情况,89.3%会主动向患者宣传"医药分开"政策,86.4%认为其宣传对患者用药意愿的影响有效。结论临床医师向患者宣传"医药分开"政策和合理用药有较高的主动性,并取得了比较明显的效果。

Objectives To investigate the effects of clinicians to the medication wills of patients under the background of ＂＇drug and medical service separation＂reform in Beijing city. Methods Some hospitals in Beijing trial＂Drug and Medical Service Separation＂ policy were taken as research sites, then conducted a questionnaire investigation on 800 clinicians in June 2013 and analyzed the effects of clinicians to the medication wills of patients after the reform. Results Among those clinicians in the research, 95.9% of those clinicians had encountered the situations of patients whose medication wills were in conflict with the ＂Drug and Medical Service Separation＂ policy during their daily diagnosis and treatment process, 89.3% of those clinicians would propagandize the ＂Drug and Medical Service Separation＂ policy to the patients voluntarily, 86.4% thought that their propaganda could influence the patients＇ medication wills effectively. Conclusions The clinicians have high initiative to promote the ＂Drug and Medical Service Separation＂ policy and the rational use of drugs to the patients, which has achieved obvious effect.