| 钱颖波,匡宇洁,薛晓兰,等.全科医生“零差率”药品应用情况及其对居民用药行为的影响分析[J].安徽医药,2018,22(11):2262-2264. |
| 全科医生“零差率”药品应用情况及其对居民用药行为的影响分析 |
| Application of zero-profit drugs among general practitioners and its impact on residents' drug taking behavior |
| 投稿时间：2017-03-15 |
| DOI： |
| 中文关键词: 全科医生 零差率药品 居民用药行为 知识掌握度 |
| 英文关键词: General practitioner Zero-profit drugs Drug taking behavior of residents Knowledge mastery degree |
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| 中文摘要: |
| 目的 探讨全科医生“零差率”药品应用情况及其对居民用药行为的影响。方法 整群抽样132名社区全科医生,给予自填式问卷调查,统计分析“零差率”药品相关知识掌握度及影响因素、“零差率”药品的主动性及因素以及“零差率”药品的可获得性情况。结果 所有132名全科医生“零差率”药品知识测评平均得分为(68.95±3.45)分,及格率为82.58%。“零差率”用药知识掌握程度与社区全科医生的性别、工作时间及专业具有相关性,差异有统计学意义(P＜0.05)。全科医生主动选择“零差率”药品的比率为91.67%,不主动选择“零差率”药品的比率为8.33%。日常诊疗时偶尔遇到常用药未包含在“零差率”药品范围内、经常遇到日常诊疗时遇到“零差率”药品断货情况、完全无法满足现有“零差率”药品对日常诊疗需要的满足程度及从“零差率”药品销售政策开始实施后,日常诊疗中可选择的药品种类无显著改变的比重最大。结论 社区全科医生对“零差率”药品相关知识的掌握度较高,在日常诊疗中“零差率”药品主动性使用的概率较高,对居民用药行为产生积极影响,但也应进一步解决实际使用问题,减轻药费而对患者造成的医疗负担。 |
| 英文摘要: |
| Objective To explore the general practitioners' use of zero-profit drugs and its impact on the drug taking behavior of residents.Methods A total of 132 community general practitioners were enrolled in the study by cluster sampling.The self-administered questionnaire was used to analyze the knowledge,the initiative prescription,availability and influencing factors of zero-profit drugs.Results All the 132 general practitioners had an average score of (68.95±3.45) points for knowledge of zero-profit drugs with a pass rate of 82.58%.There was a significant correlation between the degree of knowledge of zero-profit drugs and gender,working time and specialty of community general practitioners;the difference was statistically significant (P<0.05).91.67% of the general practitioners had the initiative to prescribe zero-profit drugs,and the rate of non-active selection of zero-profit drugs was 8.33%.The influencing factors for not prescribing zero-profit drugs were some commonly used drugs not included in the scope of zero-profit drugs,supply shortage of the drugs,inability of zero-profit drugs to meet the needs of daily treatment and insignificant changes in drug categories available for daily treatment after the implementation of marketing policy for zero-profit drugs.Conclusion The community general practitioners have a higher degree of knowledge about the zero-profit drugs,and a greater initiative to prescribe zero-profit drugs in daily clinic activities which has a highly positive impact on the drug taking behavior of the residents.Problems existing in the application should be solved so as to reduce the burden of medical expenses on patients. |
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