Shen Qian, Yang Caijun, Chang Jie, Wu Lina, Zhu Wenwen, Lv Bing, Ye Dan, Yang Shimin, Fang Yu
Department of Pharmacy Administration and Clinical Pharmacy, School of Pharmacy, Xi'an Jiaotong University, No. 76 West Yanta Road, Xi'an, Shaanxi, 710061, China.
Center for Drug Safety and Policy Research, Xi'an Jiaotong University, Xi'an, Shaanxi, 710061, China.
BMC Health Serv Res. 2016 Jul 20;16:292. doi: 10.1186/s12913-016-1537-9.
In 2009, Chinese government launched a new healthcare reform, one of the key points of which is to establish National Essential Medicine System (NEMS). Hospital pharmacists are directly related to the implementation of NEMS. This study is to examine knowledge of and attitudes towards the implementation of the NEMS among hospital pharmacists in western China.
We conducted a questionnaire survey of pharmacists from different types of medical institutions in Shaanxi Province in November 2014. We gathered demographic information about the participants, collected the data about their knowledge of and attitudes towards the implementation of NEMS, and identified the influencing factors of cognitive level. We analyzed the data and compared public secondary/tertiary hospitals and primary healthcare institutions.
Of the 704 participants (response rate = 70.2 %), the majority had positive and moderate knowledge (39.2 and 53.3 %) and attitudes (35.8 and 62.9 %) towards NEMS. The most participants were aware of the implementation time of NEMS (89.8 %) and zero mark-up policy (85.5 %) while the least learned of the adjustment time of National Essential Medicines List (NEML). Pharmacists from public secondary/tertiary hospitals tended to know more and have more positive attitudes. There was no statistical correlation between knowledge and attitude scores. The education level (p = 0.022) and number of training sessions attended (p = 0.028) were the only demographic variables linked to knowledge scores.
Hospital pharmacists in Shaanxi Province had moderate knowledge of and attitudes towards the implementation of NEMS. Pharmacists from public secondary/tertiary hospitals showed better understanding. The government should therefore focus on improving the understanding of pharmacists in primary healthcare institutions and also address existing problems, especially the supply and distribution systems.
2009年，中国政府启动了一项新的医疗改革，其中一个关键点是建立国家基本药物制度（NEMS）。医院药师与国家基本药物制度的实施直接相关。本研究旨在调查中国西部医院药师对国家基本药物制度实施的了解情况和态度。
2014年11月，我们对陕西省不同类型医疗机构的药师进行了问卷调查。我们收集了参与者的人口统计学信息，收集了他们对国家基本药物制度实施的了解情况和态度的数据，并确定了认知水平的影响因素。我们对数据进行了分析，并比较了公立二级/三级医院和基层医疗机构。
在704名参与者中（回复率=70.2%），大多数人对国家基本药物制度有积极且中等程度的了解（分别为39.2%和53.3%）和态度（分别为35.8%和62.9%）。大多数参与者知道国家基本药物制度的实施时间（89.8%）和零差率政策（85.5%），而对国家基本药物目录调整时间了解最少。公立二级/三级医院的药师往往了解更多且态度更积极。知识得分与态度得分之间无统计学相关性。教育水平（p=0.022）和参加培训课程的次数（p=0.028）是与知识得分相关的仅有人口统计学变量。
陕西省医院药师对国家基本药物制度的实施有中等程度的了解和态度。公立二级/三级医院的药师理解得更好。因此，政府应着重提高基层医疗机构药师的理解，并解决现有问题，特别是供应和配送系统问题。
