School of General Practice and Continuing Education, Capital Medical University, Beijing, China.
Department of General Practice, ShuangJing Community Health Service Center, Chaoyang District, Beijing, China.
BMJ Open. 2022 May 11;12(5):e055091. doi: 10.1136/bmjopen-2021-055091.
This qualitative study aimed to explore the factors influencing the prescription patterns of essential medicines (EMs) from the perspectives of general practitioners (GPs) and patients in Beijing, China.
The qualitative study was conducted using individual in-depth interviews.
This study was conducted from January to August 2020, in community health service centres (CHSCs) across six urban districts of Beijing, China.
A total of 17 GPs from 17 CHSCs in 6 urban districts and 22 patients with non-communicable diseases from three CHSCs in the three urban districts of Beijing were recruited using the purposive sampling method and a three-stage sampling strategy, respectively.
Five major themes were identified among factors influencing the prescription pattern of EMs: (1) efficacy and safety of medicines, (2) prescription recommendations from physicians in tertiary or secondary hospitals, (3) patients' medication preference, (4) financial status of patients and (5) minimum requirement for the prescription of EMs.
The findings of this study contribute to our understanding of the factors influencing the prescription patterns and utilisation of EMs from the perspectives of GPs and patients, respectively. Policymakers should implement policies and measures to promote the National Essential Medicines System in China.
本定性研究旨在从中国北京全科医生和患者的角度探讨影响基本药物（EMs）处方模式的因素。
本研究采用个体深入访谈进行定性研究。
本研究于 2020 年 1 月至 8 月在北京 6 个城区的社区卫生服务中心进行。
采用目的抽样法和三阶段抽样策略，分别从北京 6 个城区的 17 个社区卫生服务中心招募了 17 名全科医生和 22 名来自北京 3 个城区的 3 个社区卫生服务中心的非传染性疾病患者。
确定了影响 EMs 处方模式的五个主要因素：（1）药物的疗效和安全性，（2）三级或二级医院医生的处方建议，（3）患者的用药偏好，（4）患者的经济状况和（5）EMs 处方的最低要求。
本研究的结果有助于从全科医生和患者的角度了解影响 EMs 处方模式和使用的因素。决策者应实施政策和措施，以促进中国国家基本药物制度。
