Study On Rural Doctor And Township Hospital Doctor To Essential Drugs Cognition And Its Service Condition Evaluation In Shandong Province

Background:Presently, "To take medical treatment expensively and difficultly" already become a prominent national universal question. The country should not only expand the hygienic investment and outside the expansion medical insurance coverage, but also adopt the effective action to solve the drugs question.The national essential drugs system are very important in regarding the control drugs expense, improving the health grade of service.The government take measures to lightens the populace medicine expense burden, enhances the public the drugs profitability through the essential regulation and the intervention. Presently, the propaganda and the popular dynamics on essential drugs are insufficient, the public cognition of essential drugs is relatively low. Essential drugs's availability is optimistic, this situation is more prominent in the countryside area. Doctor can does the prescription with essential drugs first, as well as enhance it possibly to increase a countryside area essential drugs availability is an effective way.Objectives:The study aims to understand the national essential drugs cognition situation, service condition and the suggestion on this policy of rural doctor in Shandong Province and analyse its influencing factors, provide recommendation for the drug control department and the health department to consummate the essential drugs system, to improve the standard clinical medication behaviour.Methods:The study interviewers were health professionals in Wendeng, Pingdu, Qingzhou, Yiyuan, Yanggu, Yutai, Yishui, Penglai, Caoxian, in Shandong province.520 questionnaire were distributed and 467 copies were collected, the effective rate is 90.7%. Data analysis methods are:(1)Mean and standard deviation were used to describe the general situation in the numeric data or nearly numeric data. (2)X-test was used in the analysis of basic situation, as well as its essential drugs cognition situation and the service condition.. (3)Logistic Regression was used to explore the influencing factors in the multivariate analysis.Main Results:(1)The knowing rate of the concept of essential drugs among rural doctor in Shandong Province is 92.0%, but the relative analyses discovers majority of rural doctor also needs further understanding to essential drugs. (2)The main source for rural doctor to know essential drugs is television/broadcast, vocational training, newspaper/specialized magazine. (3)Rural doctor consider that curative effect proportion of the national essential drugs as very good, good, generally bad is 55.5%, 29.8%,14.3%,0.4%. Multivariate analysis result demonstrates that sex, marital status, study specialized, specialized age limit, school record, specialized technology post, income, practice qualification were main influencing factors of curative effect approval degree among Villages and towns Public health center doctor. Sex, marital status, specialized age limit, school record, income were main influencing factors of curative effect approval degree among village clinic doctor. (4)96.1% rural doctors want and actual choose the basic drug in prescription, high proportion of reimbursement, high authority requests and patient requests are the primary cause for doctor to use the essential drugs. (5)91.9% rural doctors hoped that carries on the training of essential drugs. (6)81.6% rural doctors recommend the essential drugs frequently to the patient,65% patients are glad to accept when doctor recommends. (7)44.5% rural doctors have the institute to the drugs manufacture factory by chance, 52.2% rural doctors have the institute to the drugs brand by chance. (8)In view of hypertension,â…¡diabetes, diarrhea 3 kind of common diseases (does not have complication or light) in the prescription drugs which rural doctor gives, the essential drugs accounts Approximately is 70%-80%.Conclusions and suggestions:(1)Strengthen the training to rural doctor's about national essential drugs, trains the science reasonable medication custom of rural doctors.(2)Strengthens the essential drugs the propaganda, enhances the populace to the essential drugs cognition and the faith.(3)Standard the prescription behaviour of rural doctor, perfect the recommends prescription of rural doctor, urges the rural doctor to use the medicine economically,, reasonably and safely. (4)Establish fiscal subsidy system and raises the medical service price and the medicine matter expense suitably. (5)Establishment Medical establishment drugs procurement national standard.