| 贺彤,李艾玲,王舶滔,梁翁雪,李箫,王睿晗,胡明,周乃彤.成都市居民慢病管理水平及合理用药现状调研[J].中国药事,2024,38(3):341-350 |
| 成都市居民慢病管理水平及合理用药现状调研 |
| Investigation on the Management Level of Chronic Diseases and the CurrentSituation of Rational Drug Use among Residents in Chengdu |
| 投稿时间：2023-11-04 |
| DOI：10.16153/j.1002-7777.2024.03.014 |
| 中文关键词: 成都 慢病管理 合理用药 入户调查 |
| 英文关键词: chengdu chronic disease management rational administration of drugs household survey |
| 基金项目:国家自然科学基金资助项目（编号 71473170 )，新医改多重政策实施背景下基本药物可及性评价：指标与方法的建立与实证；国家执业药师发展研究中心，成都市社会药房慢病管理服务水平评价研究（编号 201812） |
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| 中文摘要: |
| 目的：探究当前居民家庭慢病管理及合理用药水平，为进一步全面评价“分级诊疗”“家庭医生”等多项慢病全程防治管理政策实施后慢病患者家庭用药合理性的改善情况提供参考。方法：参考《国家药品状况评估、监测和评价工具包》中所推荐的调查地区的选取方法，并综合考虑成都市实际情况以及实际调研的难易度，采用分层抽样法，共发放224份问卷，回收有效问卷199份，对问卷数据进行描述性统计分析。结果：从受访者用药及慢病监测情况看，94.27%的受访者遵医嘱按时按量服药，70.35%的受访者家中有用于监测慢病的手段，慢病患者病情稳定（非常稳定32.66%，比较稳定57.29%）。从受访家庭地理可及性调查结果来看，80.9%的受访者认为公立医疗卫生机构的位置便利（10~30分种可到达）；而对于药品的可获得性,“因药品供应不足导致购药困难”的情况均未出现；在药品可负担性方面，超过90%的受访者至少享受1种以上医疗保障，能负担得起药品费用的受访者比例超过95%。从受访者社区慢病管理情况调查结果来看，超过一半（62.81%）的受访者明确表示自己有健康档案，且档案多为医院、社区卫生服务中心建立、储存，但仍有11.06%的受访者不清楚自己是否有档案。结论：成都市慢病患者自我管理水平较高；成都市家庭药品可及性水平较高，慢病患者家庭用药负担减轻；成都市社区慢病管理水平有待提高。 |
| 英文摘要: |
| Objective: To explore the current level of household chronic disease management and rational druguse among residents, in order to provide a reference for further comprehensive evaluation of the improvement ofthe rationality of household medication for chronic disease patients after the implementation of multiple wholechronic disease whole-course prevention and management policies such as "graded diagnosis and treatment" and"family doctors". Methods: Referring to the recommended method for selecting survey areas in the National DrugStatus Assessment, Monitoring, and Evaluation Toolkit, and taking into account the actual situation in Chengduand the diffi culty of the survey, a stratifi ed sampling method was used to distribute a total of 224 questionnaires, with 199 valid questionnaires collected. Descriptive statistical analysis was conducted on the questionnairedata. Results: From the perspective of respondents medication and chronic disease monitoring, 94.27% ofrespondents took medication on time and according to doctor's advice, 70.35% of respondents had means at homefor monitoring chronic diseases, and the condition of chronic disease patients was stable (very stable 32.66%,relatively stable 57.29%). According to the survey results of geographical accessibility of surveyed households,80.9% of respondents believed that the location of public medical and health institutions was convenient(accessible in 10 to 30 minutes); the situation of "diffi culty in purchasing drugs due to insuffi cient drug supply"had not occurred ;in terms of aff ordability of drugs, over 90% of respondents enjoyed at least one type of medicalinsurance, and over 95% of respondents could aff ord the cost of drugs. According to the survey results on themanagement of chronic diseases in the community, more than half (62.81%) of the respondents clearly stated thatthey had health records, which were mostly established and stored by hospitals and community health servicecenters. However, 11.06% of the respondents were still unclear about whether they had records. Conclusion: Theself-management level of chronic disease patients in Chengdu is relatively high; the accessibility level of familymedication in Chengdu is relatively high, and the burden of medication for chronic disease patients is reduced; thelevel of community chronic disease management in Chengdu needs to be improved. |
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