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目的:对全国36个社区卫生服务体系建设重点联系城市(区)所有社区卫生服务机构进行三年的连续性调查,了解社区居民对国家基本药物制度实施情况的满意度,为评价国家基本药物制度实施效果提供参考方法:采用普查的方式,调查36个重点联系城市制度实施情况;采用抽样调查的方法,对社区居民满意度进行调查,利用SAS9.1软件进行统计分析。结果:2009年至2011年36个重点联系城市辖区社区卫生服务机构调查数依次为217,221,223;抽样调查的社区居民人数依次为22655,22 358和23 285。国家基本药物制度的覆盖率稳步增长,药品零差率销售制度实施率增加幅度较大;社区居民满意度总体较好,在2011年有66.12%的居民认为药价比以前便宜,36.27%认为药价“非常便宜”。结论:国家基本药物制度的实施初具成效,居民满意度较好;建议增加社区卫生服务机构基本药物的配备率,以进一步提高社区居民用药满意度。
Objective: To conduct a three-year continuous survey on all community health service agencies in key contact cities (districts) of 36 community health service system in China to find out community residents’ satisfaction with the implementation of the national essential drug system and to evaluate the national essential drug system Implementation of the results provide a reference method: the use of census method to investigate the implementation of 36 key cities in the implementation of the system; using sample survey methods to investigate the satisfaction of community residents, the use of SAS9.1 software for statistical analysis. Results: The number of community health service agencies in 36 key contact cities in 2009 and 2011 was 217,221,223. The number of community residents in sample survey was 22,655, 22,358 and 23,285 respectively. The coverage rate of the national essential drug system increased steadily and the rate of implementation of zero-slip drug sales system increased significantly. Satisfaction of community residents was generally good. In 2011, 66.12% of residents considered cheaper drugs than before and 36.27% considered drugs Price “very cheap ”. Conclusion: The implementation of the national essential drug system has taken effect and residents’ satisfaction is good. It is suggested to increase the rate of provision of essential medicines in community health service institutions so as to further improve the satisfaction of drug users in communities.