| MethodsWe use document analysis, interviews at home and abroad to understand the basic essential medicine prescription status, influencing factors and useful experience; we investigated 97 doctors in one hospital of Yunnan Province about their basic information and essential medicine to the implementation of relevant policies with uniform questionnaires. Then we take every survey doctors'prescriptions from October 2009 to April 2010 to assess the status of essential medicines prescribed; we use chi-square test and logistic regression analysis to analyze self factors and establishment of multiple regression models.Results1. the usage rate of essential medicines was 58.67%, which is considered low. There's a need to take measures to promote the prescription of essential medicine; essential medicine usage greater than or equal to 60% of the survey accounted for 69.07% doctors, less prescription of essential medicine prescribed drugs accounted for a large proportion of the hospital.2. Investigating drug-related doctor's basic desire to learn policy, accessibility, awareness and implementation of the willingness in general, the corresponding scores were 3.33 points, 3.01 points, 3.37 points and 3.37 points; policy less study time, 2.56 minutes.3. According to chi-square test, In the 11 possible influencing factors the level of utilization of essential medicine are not related to doctors gender and title.However, their age, position, department, education, hospital policy learning, policy learning time , policy information availability, policy awareness and policy implementation were the basic drugs used will influence the level of statistical significance.4.logistic regression analysis showed that, in accordance with the level ofα= 0.05, position, education, policy learning and policy learning time will not be reduced the use of essential medicines for outpatient medical utilization factors, age (P = 0.042 <0.05), sections (P = 0.006 <0.05), policy information availability (P = 0.013 <0.05), the policy of cognitive (P = 0.005 <0.05) and policy implementation intentions (P = 0.014 <0.05) and other five factors of essential medicine to the survey of doctors significantly affected the level of usage. The regression equation was Y = 4.669-0.221 X1(1)-2.745 X1(2)+5.827 X3 (1)+3.089 X3(2)-1.866 X7(1)+1.160 X7(2) -4.676 X8(1) -1.374X8(2)-4.253X9(1)-1.691X9(2). For doctors, the basic drugs used ,31-40-year-old age group than the other two, other than medical and surgical departments, policy information accessibility scores between 2.5-3.4 points higher than the≤2.4 points, policy recognition knowledge score≤2.4 points lower than the other two scoring section, policy implementation will score≤2.4 points was lower than the other two points above. The results suggest that doctors'drug-related policies for basic training, educational and monitoring and evaluation should focus on differences in age and departments, special attention to other sections of 31-40 years of age or doctors, to improve policy accessibility, knowledge or policy implementation of the policy will help to improve physician usage of essential medicine.Suggestions1. Promote the access to essential medicine-related policy information2. Improve the doctors'knowledge of essential medicine-related policies3. Strengthen the monitoring and evaluation of using essential medicine4. Improve the implementation intention of essential medicine policy5. Focus on essential medicine prescription differences in age and departments... |
PDF Full Text Request