摘要
[目的]分析某市社区卫生服务机构开展零差率基本药物政策后对门诊患者的影响,评价政策的短期效果。[方法]采用自行设计的《社区门诊患者对零差率基本药物认知和用药行为的调查表》,分别于2010年和2012年抽取北方某特大城市部分社区卫生服务中心的门诊患者进行问卷调查,进行前后对照分析。[结果]调查结果显示,患者对基本药物的知晓率没有明显提升,仍处于较低水平;患者对零差率基本药物的价格满意度下降;对药品种类的满意度与两年前相比没有差异;但对零差率基本药物政策总体持积极态度的患者占比明显下降。[结论]患者对基本药物政策知晓度不高,应加大宣传力度,扩宽宣传渠道,重点是发挥社区医生和街道的作用;从药品生产、流通、配送和使用的全流程着手,削弱各个环节所带来的成本提高和费用增加;提高社区医疗机构的诊疗水平和服务水平,做到基本医疗和公共卫生同步发展,从而保障基本药物政策在基层的可持续发展。
Objective To analyzes the effect of outpatients after carrying out zero rate essential drug policy in community health services and evaluates policy＇s hort-terme ffect. Methods Adopted self-designed estimnaire fcrm on zero rate essential drug cogn ition and drug taking behavior of community outpatients？ Investigated the outpatients from community health service centers in a north megacity in 2010 and 2012, then did contrast analysis. Results The survey indicated that the cognition of essential drugs was low. The satisfaction degree of essential drug price went down. There was no difference in drugs varieties compared with 2 years ago. The rate of positive attitude patients to zero rate essential drug policy went down too. Conclusions It needs to increase publicity dynamics, broaden publicity channel and give play to the action of community doctors. Weaken cost and expenses increase from pharmaceutical production, circulate, delivery and use. Increase the diagnosis and service level of community service centers. Makes synchronous development between essential medicine and public health so as to ensure essential medicine policysustai mble ＆vel cpne nt.
出处
《卫生软科学》
2013年第8期457-460,共4页
Soft Science of Health
基金
首都医科大学校自然基金"社区基本药物制度实施效果实证研究"(2011ZR11)
关键词
基本药物
社区门诊患者
认知
用药行为
essential drug
community outpatients
cognition
drug taking behavior
