Research Of Drug Use Behavior Adopted By Rural Area Elementary Institutions Of Medical&Health And Residents In Yunnan Province

Drug safety problems is a vital issues bearing on people’s health and people’s livelihood, and protecting dug usage safety in public is action implementing "people-oriented" concept of scientific development, an important manifestation of constructing Socialist harmonious society, and a benefit all and graced children’s work. Rural medical and health institutions as a basis for tertiary-level preventive health care network in rural areas in China, they support directly the masses with the most basic and facilities in the area of medical services and play an important role for those living in rural areas in the medical and health services. Especially with the construction of new Socialist countryside, the demand on the health level of rural residents is increasing. How to effectively protect the safety and the rationality of medication is becoming into the public focus.In this paper Yunnan province as an example, relying on the relating data of basic drug usage among health institution in urban community and town which sponsored by State Food and Drug Administration Center for Drug Evaluation Organization and carried out by many units around country, to study the current situation of drug usage in the rural primary health institution and resident. Multistage sampling and random sampling methods are took in the study, five prefectures or cities are extracted in the Yunnan province, and the medicine use habits of one rural grass-root medical health institution and all the doctors in it are evaluated separately in each prefecture, more over11,177pieces of outpatient prescription in2007are also taken for making appropriate clinical drug studies. Follow-up investigation and research using self-made questionnaire have been carried out involved in6,507rural residents extracted in Kunming, Zhaotong, Lijiang, Baoshan and Puer. It is demonstrated that government input in rural grass-roots medical and health institutions is generally not very enough, and that the phenomenon of sustaining medical with drug is still serious, and that prescription of unreasonable usage of diversity and joint drug usage is much prevalent. Rural residents’behavior of drug usage is impacted greatly by household income, knowledge and prevalence experience, there is big difference on drug awareness. As the reason that self-medication is increasingly common, so rural residents have greater demand for professional medical services.In response to these problems mentioned above, this study puts forward some countermeasure and suggestion to resolve them. Firstly, government investment should be increased to improve conditions of rural primary health care sector of hardware and software. Secondly, in light of the new health reform, national essential drug systems should be implemented for eliminating the phenomenon of sustaining medicine with drug. Thirdly, national essential medicines list usage should be also implemented and prescription management should be enhanced to promote rational clinical drug use. Fourthly, health resources should be allocated rational in order to establishing and perfecting the incentive mechanism, improving the quality of medical services. Finally, raise awareness of rural resident’s medication risk and judgment of supplier acts by strengthening propaganda in public...