【摘要】 目的 了解四川省基层医疗机构公共卫生医师拥有处方权的现状、认知和态度，为卫生主管部门制定公共卫生医师处方权相关政策提供参考。方法 采用受访者驱动抽样，使用在线问卷，2023年11月至2024年1月对在四川省成都市等10个地市州227家基层医疗机构工作的公共卫生医师开展公共卫生医师处方权的现状、认知、态度调查。研究采用软件Nvivo 12.0绘制词频定性、软件SPSS 21.0统计均数定量分析基层医疗机构公共卫生医师的处方权现状、影响、认知、态度和建议。结果 参与者对公共卫生医师处方权的支持率为99.12%，普遍认为处方权是对公共卫生医师身份认同的标志（98.68%），认为缺失处方权会影响患者信任依从（96.92%）、降低医学同行对公共卫生医师医学专业性的认可（97.80%）和公共卫生医师开展公共卫生工作的效果（97.80%）。参与者认为授予处方权可促进防治结合，促进人群健康水平提升（98.68%）；促进公共卫生医师医学专业能力提升，改善公共卫生工作效率、质量和效果（93.83%）。参与者支持通过上级医院进修学习（98.24%）、或全科医师转岗培训（96.04%）、或公共卫生医师规范化培训（97.36%）考核合格后授予处方权。结论 四川省基层医疗机构公共卫生医师群体普遍支持授予处方权，认为确认公共卫生医师处方权可以在基层发挥极大作用，促进医防融合，是增强基层医疗卫生服务效率和质量的一项重要举措。更多还原

【Abstract】 Objective To understand the current situation,cognition and attitude of public health physicians with prescription rights in grassroots medical institutions in Sichuan Province, and to provide reference for the formulation of policies related to prescription rights for public health physicians. Methods By using respondent driven sampling,an cross-sectional survey was conducted using online questionnaire on public health physicians working in 227 primary healthcare institutions in 10 cities and prefectures of Chengdu,Sichuan Province. The study used Nvivo 12.0 software to draw word frequency qualitative analysis and SPSS 21.0 software to quantitatively analyze the current status, impact, cognition, attitude and suggestions of prescription rights of public health physicians in primary healthcare institutions. Results The support rate of participants for the prescription rights of public health physicians was 99.12%. It was widely believed that prescription right was a symbol of identity as public health “physicians”(98.68%). The lack of prescription rights can affect patient trust and compliance(96.92%), reduce medical peers’ recognition of the medical professionalism of public health physicians(97.80%),and the effectiveness of public health physicians in carrying out public health work(97.80%). Participants believed that granting prescription rights can promote the combination of prevention and treatment,and improve the health level of the population(98.68%);Promote the improvement of the medical professional competence of public health physicians,and enhance the efficiency,quality,and effectiveness of public health work(93.83%). Participants supported granting prescription rights after passing higher-level hospital training(98.24%), general practitioner transfer training(96.04%), or standardized training for public health physicians(97.36%). Conclusions The community of public health physicians in grassroots medical institutions in Sichuan Province generally supports granting prescription rights,believing that confirming the prescription rights of public health physicians can play a great role at the grassroots level, promote the integration of medicine and prevention, and it is an important measure to enhance the efficiency and quality of grassroots medical and health services.更多还原