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目的探讨北京市“医药分开”改革背景下临床医师对患者用药意愿的影响。方法以北京市试行“医药分开”的部分医院为研究现场,于2013年6月随机抽取800名临床医师进行问卷调查,分析改革后临床医师对患者用药意愿的影响。结果被调查的临床医师中,95.9%在日常诊疗过程中遇到患者用药意愿与“医药分开”政策相悖的情况,89.3%会主动向患者宣传“医药分开”政策,86.4%认为其宣传对患者用药意愿的影响有效。结论临床医师向患者宣传“医药分开”政策和合理用药有较高的主动性,并取得了比较明显的效果。
Objective To explore the influence of clinicians on patients’ willingness to use drugs in the context of the reform of “medical separation” in Beijing. Methods A total of 800 clinics were randomly selected from a total of 800 hospitals in Beijing in June 2013 to investigate the influence of clinicians on their willingness to use drugs. Results Of the surveyed clinicians, 95.9% of the surveyed patients encountered the discrepancy between their willingness to use medicine and the policy of “medical separation” during routine treatment, and 89.3% of them would actively promote the policy of “separation of medical treatment” and 86.4% The publicity on the patient’s willingness to use drugs is effective. Conclusion Clinicians to promote “medicine separate ” policy and rational use of drugs have a higher initiative, and achieved more obvious results.