【作者】 张震巍；

【导师】 陈飞虎；

【作者基本信息】 安徽医科大学 ， 社会医学与卫生事业管理， 2004， 硕士

【摘要】 目的：了解安徽省医务人员对国家基本药物的认知情况及影响因素，为我省进一步推广使用国家基本药物并制定符合我省实际情况的基本药物行动规划提供必要依据。方法：采用分层整群抽样的方法，选取安徽省3所三级医院、6所二级医院的内科、外科、妇产科、儿科和药剂科科室，对医务人员进行现场问卷调查。所有资料采用Epi inf06． 0录入，用spss11． 0进行统计分析，统计方法包括X2检验、方差分析和Logistic多因素回归分析等。结果：(1) 64． 3％的医务人员听说过国家基本药物，其中有30． 6％的人参加过国家基本药物知识的培训或学习。(2) 专业期刊、文件、学术讲座和会议在医务人员了解国家基本药物的渠道中占主要地位(60． 3％)，大众媒体在医务人员了解国家基本药物的渠道中居次要地位。(3) 82． 8％的医生知晓者在临床中能够首选国家基本药物，只有18． 3％的护士和药学人员知晓者能够经常向医生推荐使用国家基本药物。(4) 64． 2％的知晓者认为使用国家基本药物在很大程度上能够促进合理用药。(5) 只有16． 3％的知晓者经常向患者宣传国家基本药物。(6) 影响医务人员知道国家基本药物的有专业、职称、学历、科室工作年限和是否参加过国家基本药物知识培训等。 结论：国家基本药物概念在医务人员中已经在一定程度上得到普及，但是医务人员对于国家基本药物的认识水平仍然偏低，不同科室医务人员的基本药物知晓率参差不一。医务人员接受国家基本药物知识培训的次数偏少，时间较短。医务人员向患者宣传国家基本药物的力度不够，护士和药学人员在推广国家基本药物方面缺乏与医生的沟通。建议：进一步完善推行国家基本药物的政策措施，加大国家基本药物的宣传、培训和教育力度，注重更新医务人员的临床用药知识，制订标准治疗指南和良好处方集，完善药品流通体制，制订合理的医疗机构补偿政策，推动合理用药和基本药物的使用。更多还原

【Abstract】 Objectives: Primarily to research the awareness of the concept of essential drugs of medical professionals and find out factors affecting the extent to which they understand it. And to provide necessary information for implementing national essential drugs policy more deeply and developing provincial essential drugs programs. Methods: By simple random sampling we selected 3 grade III hospitals and 6 grade II hospitals among general hospitals in Anhui, and in chosen hospitals of each grade 1500 medical professionals were selected in terms of their sectional offices , and a sample of 3000 medical professionals was asked to complete the questionnaire. All data were input into the computer using the software of Epi info 6 and x-test, one-way analysis of variance and logistic analysis were conducted using SPSS to make statistical analysis. Results: (1)Averagely 64.3 percentage of medical professionals know the concept of essential drugs;(2)Medical professionals learn about essential drugs mainly through professional periodicals, documents, academic reports and conferences. Seldom professionals could obtain information about essential drugs from Internet. (3)A low ratio of all the professionals who know the concept were trained about the knowledge of this field, and also a low ratio of them could frequently publicize the concept of essential drugs to patients. (4)Most medical professionals acknowledge that using essential drugs could promote rational drugs use in great extent. (5)Specialties, technical posts, sectional offices, working years and educational levels jointly affect the awareness of essential drugs in medical professionals. Conclusions: The concept of essential drugs has been popularized in medical professionals in certain extent and essential drugs are becoming most preferred by some clinicians. But the understanding is not comprehensive. Professionals are lack of training about the knowledge of this field, especially nurses are.Professionals have done little to propagandize the concept of essential drugs to patients. Clinicians and nurses and phannacists are lack of communication in promoting essential drugs. Suggestions: Government should consummate relative policies in implementing essential drugs policy. It is to set up courses of essential drugs and rational drugs use in medical college. Hospitals should pay more attention to renewing medical professionals’ knowledge of rational drug use. Enhancing the communication among doctors and nurses and pharmacists would be propitious for rational drug use and using essential drugs in clinics.更多还原