苏州地区14家医疗机构医师对国家药品集中采购政策的认知现状及药学需求调查研究

Investigation and Research on the Cognition Status of the National Centralized Drug Procurement Policy and the Demand for Pharmaceutical Care of Physicians in 14 Medical Institutions of Suzhou

关键词:  国家药品集中采购政策  认知现状  药学需求

Key words:  National Centralized Drug Procurement Policy  cognitive status  pharmaceutical care demand

摘要:

目的 通过苏州地区14家医疗机构医师对国家药品集中采购政策(以下简称"集采政策")的认知现状及药学服务需求的调研,了解集采政策推进情况,更好地发挥药学服务的作用,促进药学服务转型。方法 2021年5-7月采用问卷星调查的方式,调研苏州地区14家医疗机构医师对集采政策知晓情况、评价情况、用药行为及药学需求。对各个问题的回答情况进行汇总和描述性分析,应用SPSS 25.0统计软件进行数据分析。结果 共计调研1 134份问卷,有效回收1 005份。知晓情况:知晓集采政策的医师有826人,知晓率为82.19%。医疗机构等级、专业职称、学历、集采政策培训次数对集采政策知晓情况差异有统计学意义(P<0.05)。医疗机构等级越高、专业职称越高、学历越高、集采政策培训次数越多的医师知晓率越高。评价情况:知晓集采政策的医师中,有61.26%的医师对国家集中采购药品(以下简称"集采药品")治疗效果满意,69.49%的医师对集采药品安全性满意。不同学历、集采药品培训次数对集采药品的评价差异有统计学意义(P<0.05),其中专科学历的医师对集采药品满意度较高;参与集采政策培训次数越多,对集采药品评价越高。用药行为变化:知晓集采政策的医师中,83.90%的医师在开具医嘱时会优先选择国家集采药品。不同医疗机构等级、学历、集采政策培训次数在用药行为上具有统计学意义(P<0.05),一级医疗机构医师开具医嘱时更加会优先选择国家集采药品;专科学历医师会更主动了解国家药品集采政策;参加集采政策培训次数越多,用药时会优先选择国家集采药品。药学需求:89.10%的医师需要药师推送国家药品集中采购政策科普文章、提供集中采购药品前沿信息和进展,83.29%的医师需要药师提供集中采购药品医保相关政策信息。结论 苏州地区14家医疗机构医师对集采政策认知程度及药学服务需求较高,医师和药师在集采政策的推进过程中应发挥更多的作用。

Abstract:

OBJECTIVE To understand the promotion of the National Centralized Drug Procurement Policy(hereinafter referred to as "Centralized Procurement Policy"), give better play to the role of pharmaceutical care, and promote the transformation of pharmaceutical care through investigation and research on the cognition status of the Centralized Procurement Policy and the demand for pharmaceutical care of physicians in 14 medical institutions of Suzhou. METHODS From May to July 2021, the questionnaire star survey was used to investigate the Centralized Procurement Policy awareness, evaluation, medication behavior and the demand for pharmaceutical care of physicians in 14 medical institutions of Suzhou. The answers to each question were summarized and descriptively analyzed, and SPSS 25.0 statistical software was used for data analysis. RESULTS A total of 1 134 questionnaires were investigated, and 1 005 were effectively recovered. Awareness:there were 826 physicians who were aware of the Centralized Procurement Policy, and the awareness rate was 82.19%. The level of medical institutions, professional titles, educational backgrounds, and the times of the Centralized Procurement Policy training had statistical differences in the awareness of the Centralized Procurement Policy(P<0.05). The higher of the level of the medical institution, the higher of the professional title, the higher of the educational background, and the more times of Centralized Procurement Policy training, the higher the awareness rate of physicians. Evaluation:among the physicians who knew the Centralized Procurement Policy, 61.26% were satisfied with the therapeutic effect of the centralized purchasing drugs, and 69.49% of them were satisfied with the safety of the centralized purchasing drugs. Different educational backgrounds and the training times for the centralized purchasing drugs had statistical differences in the evaluation of the centralized purchasing drugs(P<0.05), among which physicians with specialized educational background were more satisfied with the centralized purchasing drugs; the more of training times, the higher the evaluation of the centralized purchasing drugs. Medication behavior:among the physicians who knew the Centralized Procurement Policy, 83.90% of them gave priority to the centralized purchasing drugs when issuing medical orders. There were statistically significant differences in medication behavior among different medical institution grades, educational backgrounds, and training times of the Centralized Procurement Policy(P<0.05). Physicians in first-level medical institutions would give priority to the centralized purchasing drugs when issuing medical orders; physicians with professional qualifications would be more active in understanding the Centralized Procurement Policy; the more times that physicians participated in the Centralized Procurement Policy training, the priority would be given to the centralized purchasing drugs when taking medication. Demand for pharmaceutical care:89.10% of physicians needed pharmacists to push popular science articles on the Centralized Procurement Policy and provided frontier information and progress of the centralized purchasing drugs, and 83.29% of physicians needed pharmacists to provide medical insurance policy information related to the centralized purchasing drugs. CONCLUSION The physicians in the 14 medical institutions of Suzhou have high awareness of the Centralized Procurement Policy and the demand for pharmaceutical care. Physicians and pharmacists should play more roles in the promotion of the Centralized Procurement Policy.