文章摘要
方勤勤,金 秋,江启成,汤质如,王丽丹.合肥市基层门诊患者基本药物制度调查[J].南京医科大学学报(社会科学版),2016,(5):350~354
合肥市基层门诊患者基本药物制度调查
Investigation of outpatients on National Essential Medicine System in primary health care institutions of Hefei city
投稿时间:2016-06-21  
DOI:10.7655/NYDXBSS20160503
中文关键词: 国家基本药物制度  门诊患者  满意度  影响因素
英文关键词: National Essential Medicine System  outpatient  satisfaction  influencing factor
基金项目:加拿大国际发展研究中心资助项目“通过开展评价和能力建设强化中国卫生公平性研究”
作者单位
方勤勤 安徽医科大学卫生管理学院,安徽 合肥 230032 
金 秋 安徽医科大学卫生管理学院,安徽 合肥 230032 
江启成 安徽医科大学卫生管理学院,安徽 合肥 230032 
汤质如 安徽医科大学卫生管理学院,安徽 合肥 230032 
王丽丹 安徽医科大学卫生管理学院,安徽 合肥 230032 
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中文摘要:
      目的:以合肥市基层医疗卫生机构门诊患者为研究对象,了解其对国家基本药物制度的认知?态度及满意度情况,并探讨满意度的影响因素?方法:采用自行设计的自填式问卷,随机抽取合肥市社区卫生服务中心和乡镇卫生院的664例门诊患者进行匿名调查?采用χ2检验和多元Logistic回归模型进行数据分析?结果:45.6%的门诊患者表示完全不了解基本药物制度;65.5%的门诊患者表示支持或特别支持实施基本药物制度;门诊患者对基本药物制度的综合满意度为74.1%,满意度得分为71.24分;多元Logistic回归分析结果显示不同参保类型门诊患者的满意度得分差异有统计学意义?结论:合肥市基层医疗卫生机构门诊患者基本药物制度认知度?满意度均处于较低水平,参保类型为门诊患者满意度的影响因素?建议加强基本药物制度的宣传和培训,完善基本药物的招标采购制度,加快推进城乡居民医保整合?
英文摘要:
      Objective: To understand the cognition, attitude and satisfaction on the National Essential Medicines System among Community Health Service Centers (CHSC) and Township Health Centers (THC) in Hefei, and its influencing factors. Methods: A self-designed questionnaire survey was conducted among 664 outpatients randomly selected from CHSC and THC in Hefei. Chi-square test and logistic regression were used for data analysis. Results: 45.6% outpatients expressed their completely incomprehension in National Essential Medicine System. The comprehensive satisfaction degree was 74.1%, the satisfaction score was 71.24 and there were statistically significant differences in the satisfaction scores among different types of insurance. Conclusion: The awareness rate and the comprehensive satisfaction degree of outpatients on National Essential Medicine System were low. It is suggested that we should strengthening publicity and training of the system actively, improving the bidding system of essential medicines, and speeding up the integration of urban and rural residents’ medical insurance.
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