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Study on the Strategy of Essential Medicine Prescription in a Certain Hospital of Yunnan Province

Author: ZhengShuangJiang
Tutor: ZhangXinPing
School: Huazhong University of Science and Technology
Course: Social Medicine and Health Management
Keywords: Outpatient doctor Essential drugs Tactics
CLC: R95
Type: Master's thesis
Year: 2011
Downloads: 59
Quote: 0
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Abstract


Objective The purpose of this study is to by a combination of qualitative and quantitative research methods, Yunnan Province in a hospital, for example, to assess the status quo of outpatient prescription drugs, in-depth analysis of the impact of outpatient prescription drug main factors, in order to establish the outpatient The model of the internal behavior of the doctor's prescription drugs, from the perspective of hospital management, targeted strategy raised to promote outpatient prescription drugs, outpatient doctors to improve the implementation of the essential drugs policy, and to provide a reference for other hospitals. The research methods included literature analysis, expert interviews about domestic and foreign prescription drugs the status quo, the influencing factors and useful experience; investigation unified questionnaire of 97 outpatient doctor of a hospital in Yunnan Province and the implementation of the essential drugs policy and extract each survey doctors the outpatient prescription from October 2009 to April 2010, in order to assess the status of hospital outpatient prescription drugs; using the chi-square test and logistic regression analysis, statistical analysis affect outpatient prescription factors of essential drugs, and the establishment of a multiple regression model. Research doctor's prescription drug status quo. Doctor's prescription drugs influencing factors. Doctor's prescription drugs influencing factors and internal behavior model. Promote doctor's prescription drugs strategy proposed findings. Survey hospital drug usage is low, at 58.67%, the need to take measures to promote the doctor's prescription drugs; the basic drug usage is higher than or equal to 60% of the survey accounted for 69.07% of doctors, seen less basic prescription drug prescription drugs representing large proportion of the hospital. Survey of doctors of drug-related policies willingness to learn, and sexual, cognitive and implementation will generally corresponding score of 3.33 points, 3.01 points, 3.37 points and 3.37 points, respectively; policy less learning time was 2.56 minutes. According to the chi-square test, the 11 possible influencing factors, still can not believe that the level of utilization of essential drugs outpatient doctor gender and job title the outpatient doctors age, position, department, academic, policy willingness to learn, policy learning time policy information and policy awareness and implementation of policies willingness basic drug utilization rates high and low statistical significance. 4.logistic regression analysis found, in accordance with the α = 0.05 level, duties, qualifications, policies willingness to learn and policy learning time is not yet attributed to the outpatient doctor drug usage factors, age (P = 0.042 lt; 0.05), department five factors (P = 0.006 lt; 0.05), policy information and sex (P = 0.013 lt; 0.05), Policy cognitive (P = 0.005 lt; 0.05), and the implementation of policies willingness (P = 0.014 lt; 0.05) significant effect on the level of the essential drugs usage survey of doctors. The regression equation was Y = 4.669-0.221X1 (1)-2.745X1 (2) 5.827X3 (1) 3.089X3 (2)-1.866X7 (1) 1.160X7 (2)-4.676X8 (1)-1.374X8 (2 )-4.253X9 (1)-1.691X9 (2). For the outpatient doctor essential drugs usage is lower than the other two age ,31-40-year-old, the other sections below the medical and surgical, policy information and sexual score ≤ 2.4 points higher than the 2.5-3.4 points, policy recognized knowledge score ≤ 2.4 points lower than the other two score segment, the policy implementation wishes score ≤ 2.4 points lower than the other two scoring segment. The results suggest that outpatient doctor essential drugs policy training, missionary, and monitoring and evaluation should focus on the differences in age and departments to pay special attention to the 31-40 years of age or other department doctors improve the policy can and Policy cognitive or policy implementation intentions help improve doctors' essential drugs usage. Proposed. Promote the availability of the essential drugs policy information. Improve outpatient doctor awareness of the essential drugs policy. Strengthen the monitoring and evaluation of essential drugs. 5 of essential drugs policy execution will improve patient doctor. Focus the age and departments difference of outpatient prescription drug

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