南京市二级及以上医院医师与药师对国家基本药物制度的认知与态度调查

Investigation and analysis of physicians and pharmacists′ awareness and attitudes towards the implementation of the national essential medicine system in the secondary and tertiary hospitals in Nanjing City

目的比较南京市二级及以上医院药师与医师对国家基本药物制度的认知与态度,为二级及以上医院优先使用基本药物提供政策建议。方法自行设计封闭式问卷,采用典型抽样法对南京市二级及以上的15家城市医院的医师与药师进行调查。结果在基本药物目录中的抗生素类药物与中成药的选择中药师正确率比医师分别高1.5个百分点和21.1个百分点。医师基本药物制度熟悉度得分均数为(15.73±3.62)分,药师为(16.15±4.31)分,差异有统计学意义(t=1.110,P=0.268)。医师对国家基本药物制度的认可度得分均数为(17.31±3.35)分,药师为(18.29±3.94)分,差异有统计学意义(t=2.848,P=0.005)。医师与药师通过业务培训了解基本药物制度的比例分别为28.3%与54.1%,差异有统计学意义(χ~2=31.497,P=0.000)。结论药师与医师对基本药物制度的熟悉度、认可度均处于中等水平,在认可度上药师较医师高;两者对于基本药物的可及性的认识存在差异;绝大多数的医师未曾参加过基本药物相关知识的培训或学习,超过一半的药师是通过业务培训了解基本药物制度。

Objective To evaluate the awareness and attitudes of physicians and pharmacists on the national essential drug system from secondary and tertiary hospitals in Nanjing, in order to provide policy suggestions for priority use of basic medications in the secondary and tertiary hospitals. Methods A self-designed questionnaire was used to investigate doctors and pharmacists from 15 hospitals in Nanjing City by representative sampling. Results About the selection of antibiotics and traditional Chinese medicines in essential drugs, pharmacists＇ correct rates were respectively higher by 1.5 percent and 21.1 percent than physicians. The physicians＇ and pharmacists＇ average scores of familiarity for basic drug system were （15.73±3.62） points and （16.15±4.31） points （t=1.110, P=-0.268）. The physicians＇ and pharmacists＇ average scores of recognition were （17.31±3.35） points and （18.29±3.94） points （t=2.848, P=0.005）. The proportions of physicians and pharmacists through professional training to understand the basic drug system were respectively 28.3% and 54.1% （χ^2=31.497, P=0.000）. Conclusion The pharmacists＇ and physicians＇ familiarity and recognition of the basic drug system are in the middle level, and pharmacists are higher than physician in recognition. There are differences in the understanding of the accessibility of essential drugs between physicians and pharmacists. The majority of physicians have not participated in related knowledge training or learning, and more than half of the pharmacist understand the basic drug system through professional training.