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评价中国乡村医生视角下国家基本药物目录的需求和分布:基于横断面研究。

Evaluation of Need and Distribution of National Essential Medicines List in Village Clinics: A Cross-sectional Study Based on the Perspective of Village Doctors in China.

机构信息

Department of Social Medicine and Health Management, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030, China.

Department of Development, Children's Hospital of Chongqing Medical University, Ministry of Education Key Laboratory of Child Development and Disorders, Chongqing, 400014, China.

出版信息

Curr Med Sci. 2019 Aug;39(4):663-669. doi: 10.1007/s11596-019-2089-0. Epub 2019 Jul 25.

Abstract

This study aimed to evaluate the satisfaction of village doctors to essential medicines list (EML) and accessibility of essential medicines (EMs) distribution to improve the implementation of EML in village clinics. A total of 422 village doctors from five counties in three provinces of China were surveyed by questionnaires. Logistic regression analysis was conducted to identify the main factors associated with village doctors' evaluation of EML. The results showed that village doctors had a negative evaluation in satisfaction level of EML to village-based care and accessibility of EM distribution. The government should adjust EML regularly based on the actual health status of local villagers in China and focus on adding appropriate drugs that meet the needs of villagers with chronic disease. The local government should also attach importance to the distribution of EMs and maintain their supply in village clinics.

摘要

本研究旨在评估乡村医生对基本药物目录(EML)的满意度以及基本药物(EMs)分配的可及性,以改善村诊所基本药物目录的实施。通过问卷调查,对来自中国三省五县的 422 名乡村医生进行了调查。采用逻辑回归分析方法,确定了与乡村医生对 EML 评价相关的主要因素。结果表明,乡村医生对 EML 在基层医疗保健方面的满意度和 EMs 分配的可及性评价较低。政府应根据中国当地村民的实际健康状况,定期调整 EML,并重点添加符合慢性病村民需求的合适药物。地方政府还应重视 EMs 的分配,确保在村诊所供应充足。

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