Dissertation > Excellent graduate degree dissertation topics show

Study on Rural Doctor and Township Hospital Doctor to Essential Drugs Cognition and Its Service Condition Evaluation in Shandong Province

Author: ZuoYue
Tutor: XuLingZhong
School: Shandong University
Course: Social Medicine and Health Management
Keywords: Township doctor Village doctors Essential drugs Acknowledge
CLC: R95
Type: Master's thesis
Year: 2011
Downloads: 220
Quote: 4
Read: Download Dissertation

Abstract

Background: \Solving this problem requires tackling the problem in a comprehensive way, in addition to the country should increase investment in health, and to expand health insurance coverage, but also take effective measures to solve the drug problem. National Essential Drug System as our \Government through the necessary regulation and intervention, significantly ease the burden of drug costs, improve public drug availability. Therefore, essential drugs to promote, improve meaningful, significant responsibility. For now, the basic drug propaganda, popularization efforts is not enough public awareness is low. Lower the availability of essential drugs, the situation is more pronounced in rural areas. Rural primary care doctors whether the priority of prescription drugs, as well as to improve the degree of recognition of the essential drugs may be one way is to increase the availability of essential drugs in rural areas. Research Objective: In this study, the Township, doctors and village doctors in Shandong Province as the research object, using a homemade questionnaire, to understand the situation of the Township doctor Shandong Province village doctors for the National Essential Drugs cognitive analysis of rural doctors and village doctors efficacy of essential drugs recognition of the differences in the impact of factors, and the province township doctors, village doctors for the use of the National Essential Drugs understand the opinions and suggestions of rural doctors and village doctors on the essential drugs policy. Promotion of essential drugs system and standardize medication behavior provides the policy basis for health management department. Methods: In this study, using the the multilayer cluster random sampling method, survey Penglai City, Shandong Province, Wendeng, Pingdu City, Qingzhou City, Yiyuan County, Yanggu County Yutai County, Yishui County, Caoxian nine doctors, village doctors, counties and townships were distributed and 520 copies of the questionnaire, 467 valid questionnaires, the effective recovery rate of 90.7%. Survey tool to design the questionnaire, the investigators of the research group unified training under the guidance of rural doctors and village doctors themselves completed. The adoption Epidata software to create a database using SPSS16.0 software for statistical analysis. Data analysis methods: (1) comply with the normal distribution or numeric data approximate a normal distribution, mean, standard deviation than the general description of the rate and composition of segment information; (2) the use of the X2 test for village doctors and township hospitals doctors, as well as their basic drug awareness, usage analysis; (3) the use of ordered logistic regression Township, doctors and of village doctors of basic drug efficacy recognized differences factors single factors and multivariate analysis. The main results: (1) the concept of essential drugs in Shandong Province Township, doctors and village doctors within awareness rate was 92.0%, but the analysis found that most of the township doctors village doctors for the national essential drug needs further understanding. (2) The Township of essential medicines doctors and village doctors to know that the main source of TV / radio, business training, Newspapers / professional journals. (3) national essential drug efficacy is very good, better, generally those with poor rates were 55.5%, 29.8%, 14.3%, and 0.4% in the rural doctors and village doctors. Multivariate analysis results show that the basic recognition of the effect of drugs factors affecting the township hospitals doctors mainly gender, marital status, major, in the professional life of academic, professional and technical positions, income qualifications; affect the village health room doctors recognized factors of the the basic drug's efficacy gender, marital status, in this professional age, education, and income. (4) 96.1% of the township doctors and village doctors willing and actually to select essential drugs prescription reimbursement rate, the higher level, patients require three doctors are willing to use the main reason for essential drugs. (5) 91.9% of the township doctors and village doctors hope to carry out the training of basic drugs. (6) 81.6% of the township doctors and village doctors often recommended to patients, the use of essential drugs, When doctors recommended essential drugs to patients, 65% of patients are willing to accept. (7) 44.5% of the township doctors and village doctors to pharmaceutical manufacturers pharmaceutical brand preferences, 52.2 percent of the township doctors and village doctors have preferred. Approximately 70-80% of essential drugs prescription drugs (8) Township, doctors and village doctors for high blood pressure, type II diabetes, diarrhea, three kinds of common diseases (there are no complications or lighter). Conclusions and recommendations: (1) strengthen the training of the Township doctor village doctors national essential drug system, the training of primary care physicians to scientific and rational drug habit; (2) to strengthen the publicity of essential drugs, to raise public awareness of basic drugs and reliability; (3) specification the Township doctor Village prescription behavior, perfect Township, doctors,, village doctors recommend prescription, promote rural medical personnel specification, reasonable, safe and economic use of drugs; (4) to establish a system of financial subsidies, to take to establish a financial subsidies mainly rigid system, an appropriate increase in the price of medical services and pharmaceutical costs; (5) recommended the establishment of national standards for medical institutions, pharmaceutical bidding led by the national ministries.

Study on Rural Doctor and Township Hospital Doctor to Essential Drugs Cognition and Its Service Condition Evaluation in Shandong Province

Abstract

Related Dissertations