南京市二级及以上医院医师与药师对国家基本药物制度认知与态度调查.docVIP

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 　　[摘要] 目的 比?^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（χ2=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。 　　[关键词] 二级及以上医院；药师；医师；国家基本药物制度；认知与态度 　　[中图分类号] R197.3 [文献标识码] A [文章编号] 1673-7210（2017）10（c）-0050-05 　　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 　　SUN Xiaoluan1 ZHANG Yu2，3 ZHANG Kaichao1 ZHA Yueqi2 LI Xin1，2 　　1.School of Health Policy Management， Nanjing Medical University， Jiangsu Province， Nanjing 211166， China； 2.School of Pharmacy， Nanjing Medical University， Jiangsu Province， Nanjing 211166， China； 3.Nanjing Brain Hospital Affiliated to Nanjing Medical University， Jiangsu Province， Nanjing 210029， China 　　[Abstract] 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） point