慢性疾病患者对长处方政策的使用和认知情况调查

Survey on the Use and Cognition of Long Prescription Policy by Patients with Chronic Diseases

目的了解上海市慢性疾病患者对长处方政策的使用和认知情况,探讨长处方政策存在的问题,为改善长处方政策提供依据。方法设计问卷,随机选择上海市两个社区共60例慢性疾病患者开展调查,并进行描述性统计。结果62.7%患者表示愿意开具长处方,64.4%患者认为有必要实施长处方政策。患者认为长处方的最大优点为节约了看病时间(78.0%),缺点包括调整用药不及时(47.0%)、与医师沟通减少(3.0%)、缺乏用药提醒或监督(27.0%);91%患者认为应该对医师进行补偿,方式包括提高诊疗费(87.0%)、提高药事相关服务费(87.0%)及增加随访费用(81.5%)。结论患者对长处方具较强需求,但其存在调整用药不及时、药品种类不全、医疗机构补偿等方面问题,需要完善政策设计、优化药品种类、调整收费项目及健全配套措施和激励机制。

Objective To understand the knowledge of long-term prescription policies and effects of chronic diseases in Shanghai and to discuss the problems existing in long-prescription policies and to provide basic evidence for the improvement of long-term prescription management.Methods A questionnaire was designed to randomly select 30 patients from two communities in Shanghai to conduct surveys and perform descriptive statistics.Results Respondents expressed their willingness to issue a long prescription accounted for 62.7%,indicating that the implementation of the long prescription policy is necessary to account for 64.4%.The patient considered that the longest prescription had the greatest advantage of saving time（78.0%）,but also had some shortcomings,including inaccurate adjustment of medication（47.0%）,decreased communication with doctors（39.0%）,lack of medication reminders or supervision（27.0%）;91%of the patients thought that they should be compensated by the doctors.The methods included raising the medical treatment fee（87.0%）,increasing the drug-related service fee（87.0%）and increasing the follow-up cost（81.5%）.Conclusion Patients have strong requirements for long-term prescription policies,but there are also problems in adjusting the use of drugs in a timely manner,incomplete drug varieties,and compensation for medical institutions.It is necessary to improve the design of policies,optimize the variety of drugs,adjust the charging items,and improve supporting measures and incentive mechanisms.