| 摘要: |
| 目的
探讨北京市“医药分开”改革对临床医师用药行为的影响。方法 以北京市试行“医药分开”的部分医院为研究现场，随机抽取800名临床医师进行问卷调查，分析该项改革对临床医师用药行为的影响。结果 临床医师对“医药分开”改革的知晓率为99.5%。“医院宣传”、“专项培训”、“电视广播”为临床医师了解政策的三大主要途径。改革后，92.1%的临床医师更加重视规范诊疗、合理用药；94.4%的临床医师控制大处方，减少开方用药的数量、金额；89.9%临床医师受开药收入、提成、回扣的影响降低。结论 “医药分开”改革对试点医院临床医师的用药行为产生积极影响，规范医师处方行为，加强合理用药，基本实现了改革预期目标。 |
| 关键词: 医药分开 临床医师 用药行为 |
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| Research on the Effects of Beijing City “Drug and Medical Service Separation” Policy on the Clinicians’ Medication-taking Behavior |
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| Abstract: |
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Objective To research on clinicians’ medication-taking behavior on which the “Drug and Medical Service Separation” policy in Beijing influence. Methods Taking some hospitals in Beijing trial “Drug and Medical Service Separation” policy as the research site，a random sample of 800 clinicians questionnaire to analyze the impact of the policy on clinicians medication-taking behavior. Results The clinicians’ awareness rate of the policy is 99.5%. The hospital propaganda, special training, TV and broadcasting are three major channels to understand the policy for the clinicians. After the implementation of the policy, 92.1% of the clinicians will pay more attention to the standard of diagnosis and treatment, rational use of drugs.94.4% of those clinicians will control the excessive prescription, reduce the number and amount of drugs in their prescription; 89.9% of clinicians hold that the influence of income from drug abuse, bonus and rebate will be reduced. Conclusions The effects of “Drug and Medical Service Separation” policy on the clinicians’ medication-taking behavior are remarkable. Most of the clinicians pay more attention to the standard of diagnosis and treatment, rational use of drugs, which has mainly achieved the policy expectation. |
| Key words: drug and medical service separation,clinician,medication-taking behavior |
