【摘要】 目的:了解吉林省县级公立医院医生对基本药物制度的认知情况,为县级公立医院综合改革进一步落实基本药物制度提供实证依据和建议。方法:对县级公立医院医生进行基本药物制度认知情况调查,对所得数据进行分析。结果:被调查县级公立医院中,95.7%的医生表示了解《2012版国家基本药物目录》所包含药物及主要品种,87.1%的医生表示阅读过《2012版国家基本药物临床应用指南和处方集》,97.5%的医生表示了解基本药物报销政策,73.5%的医生表示了解基本药物招标采购政策;78.4%的医生表示参加过有关基本药物制度的培训,参加基本药物制度培训的医生和未参加培训的医生对基本药物制度认知的差异具有统计学意义(P<0.05);96.9%的医生表示开处方时会优先考虑基本药物,医生在诊疗过程中处方优先选择基本药物受其对基本药物目录、国家基本药物临床应用指南和处方集、基本药物报销政策认知情况的影响(P<0.05)。结论:县级公立医院医生对基本药物制度的认知程度相对较高,针对基本药物制度的培训仍需加强。更多还原

【Abstract】 Objective: To understand cognition of essential medicine system among doctors of county-level public hospitals in Jilin Province,in order to provide implementation of essential medicine system with empirical basis and suggestion in the comprehensive reform of county-level public hospital. Methods: The cognition survey on essential medicine system was conducted among doctors of county-level public hospitals in Jilin Province and the obtained data were analyzed. Results: In the investigated county-level public hospitals,95. 7% of the doctors understood the including medicine and primary types in National Essential Medicine List. 87. 1% of the doctors had read National Essential Medicine Clinical Guidelines and Prescription Set 2012. 97. 5% of the doctors understood reimbursement policy of essential medicine. 73. 5% of the doctors understood bidding and purchasing policy of essential medicine. 78. 4% of the doctors had participated in training about essential medicine system. The difference of the cognition of the essential medicine system between the doctors who participated training and who didn’t attend had statistical significance( P< 0. 05). 96. 9% of the doctors preferred essential medicine in their prescription. And the doctors’ preference to essential medicine in their prescription is influenced by their cognition of essential medicine list,clinical guidelines and prescription set as well as purchasing policy( P < 0. 05). Conclusion: Cognition of essential medicine system among the doctors of county-level public hospital was relatively high,but the training of essential medicine system still needed to be strengthened.更多还原