目的 了解烟台市基层执业医师对国家基本药物制度的知识、态度与行为情况,为基本药物制度的顺利实施提供相关对策和建议.方法 对烟台市五所二级甲等医院165名执业医师进行知信行(KAP)问卷调查,采用简单随机抽样的方法.结果 本次问卷的有效回收率为91.52%(151/165),其中52.98%(80/151)为男性,47.02%(71/151)为女性;平均年龄为(41.9±8.5)岁;均具有本科及以上学历;90.07%(136/151)有中级及以上职称.4.64%(7/151)对国家基本药物制度非常熟悉,32.45%(49/151)比较熟悉,50.99%(77/151)一般了解.82.12%(124/151)支持该制度,71.52%(108/151)认可基本药物的疗效,医师了解基本药物制度的途径主要通过业务培训和电视、报纸等媒体,并有92.05%(139/151)希望通过业务培训增进了解.在处方时,92.72%(140/151)首选基本药物,80.79%(122/151)会主动推荐患者选用基本药物,50.33%(76/151)表示处方基本药物制度会降低个人收入.结论 烟台地区的基层执业医师对国家基本药物制度的认知程度相对较高,大多数执业医师支持基本药物制度,并能在处方时优先选择基本药物,主动向患者推荐基本药物.但是基本药物制度的推广仍然存在一定的困难,采取相应的措施完善基本药物制度,完善激励机制,加强相关培训和媒体宣传,提高公众对基本药物制度的认可度和依从性,才能促进基本药物制度的广泛实施.%Objective To investigate the Knowledge, Attitudes and Praetiees ( KAP ) of primary doctors in Yantai city on national essential drug system, in order to offer the relevant measures and advices to promote smooth implementation of the system. Methods Stratified random sampling method was used to investigate the cognition of 156 primary doctors from 5 Second -Level Grade - A Hospitals in Yantai city on National essential drug system of five hospitals through questionnaire survey on KAP. Results The retrieval rate of the eligible questionnaires was 91. 52% ( 151/165 ) . Of which 52. 98% ( 80/151 ) was male, and 47. 02% ( 71/151 ) was female; the average age was ( 41. 9 ± 8. 5 ) years, their education backgrounds were all college level or above, and 90. 07% ( 136/151 ) had the middle professional title or above. Some 4. 64% ( 7/151 ) were very familiar to the national essential drug system, 32. 45% ( 49/151 ) were familiar, and 50. 99% ( 77/151 ) were generally known. Some 82. 12% ( 124/151 ) supported the system and 71. 52% ( 108/151 ) approved it. They were aware of the system by the way of professional training and media such as TV and newspaper, and 92. 05% ( 139/151 ) wished to be further informed through professional training, in prescribing 92. 72% ( 140/151 ) took the essential drugs as their first choice, 80. 79% ( 122/151 ) actively recommended the essential drugs to their patients, however, 50. 33% ( 76/151 ) expressed that the implementation of the system could reduce their personal incomes. Conclusion The cognition of primary doctors in Yantai city on national essential drug system relatively good. Most of them approved the system, prescribed the essential drugs preferentially and advised the patients to select the drugs. Nevertheless, there are still some difficulties in spread of the national essential drugs system. It is necessary to take the related measures to promote the system, improve the reward mechanism, enhance professional training and media publication and raise the approval degree and compliance of the mass to the system, so as to promote the extensively implementation of the system.
展开▼
