广州市基层医务人员对国家基本药物制度认知情况的KAP调查

目的:了解广州市基层医务人员对国家基本药物制度的认知情况,为广州市进一步实施国家基本药物制度提供参考。方法:采用自制问卷,以多阶段分层随机抽样方法对广州市145家基层医疗卫生机构的医务人员进行知识-态度-行为(KAP)调查,并对调查数据进行统计分析。结果:共发出问卷1 450份,回收有效问卷1 428份,有效回收率为98.5%。受访者对基本药物的品种和疗效知晓率总体较高,其中24.5%的人非常熟悉,60.5%的人知道大部分。受访者对国家基本药物制度的认同度平均得分为(20.95±4.92)分(经百分制转化后得分为69.8分);通过组间比较,不同教育程度、技术职称、专业类别、认知程度和收入状况人群的得分差异有统计学意义(均P<0.05)。Logistic回归分析结果显示,国家基本药物制度培训次数多、认知程度高、收入上升和年长是受访者主动宣传国家基本药物制度的促进因素。结论:建议进一步加强国家基本药物制度的宣传和培训工作,完善基层医疗卫生机构医务人员的薪酬机制,以提高基层医务人员尤其是临床医师的工作积极性。

KAP Survey of Medical Staff in Primary Institution on National Essential Medicine System in Guangzhou

OBJECTIVE： To investigate the level of cognitive of medical staff in primary institution on national essential medi- cine system, and to provide reference for the implementation of national essential medicine system in Guangzhou. METHODS： Medical staffs were selected by multi-stage stratified random cluster sampling from 145 community health service institutions in Guangzhou and the KAP survey was conducted by a self-designed questionnaire. RESULTS： 1 450 questionnaires were sent out, and 1 428 effective questionnaires were returned with effective recovery of 98.5%. Interviewee had much knowledge of types and therapeutic efficacy of essential medicines, among which 24.5% respondents were clearly aware of essential medicines, and 60.5% were aware of most essential medicines. The average score of respondents＇ attitude was （20.95 ± 4.92, 69.8 by hundred-mark system）. There was statistical significance in subjects with different educational level, professional title, specialty, income and cognitive level among those groups （all P〈0.05）. Logistic regression analysis showed that training times, cognitive level, income and age were the influencing factors of respondents＇ propaganda behavior. CONCLUSIONS： It is suggested to further strengthen propaganda of national essential medicine system and training, and improve compensation mechanism of medical staff in primary medical institution in order to enhance the enthusiasm of medical staff especially clinical physicians.