广东省基层医疗机构基本药物制度初步实施现状调查.pdfVIP

摇 广东药学院学报 摇 Journal of Guangdong Pharmaceutical University摇 Jun.2012,28(3) 广东省基层医疗机构基本药物制度初步实施 现状调查 * 吴海彬,王怡,党丽娟 ,邓燕萍 (广东药学院药科学院,广东 广州510006) 摘要:目的 了解广东省基层医疗机构基本药物制度实施现状,为完善国家基本药物制度提供参考。 方法 抽取广东省内54 家基层医疗机构,对机构内452 名卫生人员进行问卷调查并进行统计学分析。 结果36.7%的卫生人员只是听说过或者完全不了解基本药物;46.1%的医师对基本药物使用指南和处 方集完全不了解;64.8%的卫生机构未按要求公示药品价格,仅7.4%有处方点评制度且实施了处方点 评;大部分卫生人员支持基本药物制度,46.0%反映基本药物不受患者欢迎。 结论 卫生人员对基本药 物认知度较低,对制度本身认同度较高但对实施现状不满意;基层对政策的整体执行情况较差;基本药 物可获得性较差;患者满意度低。 关键词:基层医疗机构;基本药物制度;现况调查 Evaluation of the implementation of national essential medicines system on primary medical institutions in Guangdong province WU Hai鄄bin,WANGYi,DANG Li鄄juan,DENGYan鄄ping (School of Pharmacy,Guangdong Pharmaceutical University,Guangzhou,Guangdong 510006,China) Abstract:Objective Survey on the effect of primary medical institutions and evaluation of the implementation of NEMS in Guangdong, and suggestions on improvement were proposed. Methods Questionnaire survey was conducted on54 primary medical institutions and data were collected to analyse the basic situation,availability of essential medicines. Results 36.7% lack of understanding the concept of essential medicines;46.1% of physiciansdo not know the “use guidance on essential drugs冶;64.8% of healthinstitutionsdidnotpublicitydrugprices;Only7.4% haveprescriptionreviewsystemandputinto practice;most support the system but 46. 0% reflecting most patients do not support the policy. Conclusions Primary doctors lack of knowledge about the essential medicines policy but most with high degree ofrecognitionwhilenotsatisfiedwiththestatusofimplementation. Theimplementationofthepolicy was not good;The availability of essential medicineswas not good;Patient satisfactionwaslow. Key words:primary medical institutions;essential medicines system;implementation 摇 摇 根据卫生部2011年9 月份公开信息显示,经过 此,在全国已实现基本药物制度基层全覆盖的情况 两年努力,截至7 月底,我国实现在所有政府办基层