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医疗机构处方流转服务实施情况的患者知信行调查
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| 篇名： | 医疗机构处方流转服务实施情况的患者知信行调查 |
| TITLE： | Evaluation of implementation situation of prescription circulation service in medical institutions based on patient KAP survey |
| 摘要： | 目的 为完善我国处方流转服务和相关平台建设、提高线上医疗服务水平提供参考。方法查阅文献并咨询专家意见后设计调查问卷，随机抽取2019年11月22日－2022年5月期间在四川省某“三甲”医院处方流转平台中接受过处方流转服务的患者，通过电话联系和短信发送问卷的形式，对其进行有关处方流转服务的知信行调查。结果调研患者总计285例，有效应答患者共计200例。大部分受访患者过去1年内参与处方流转服务的频次为1～5次（129例，64.50%）；77.0%的患者对于处方流转服务表示“一般了解”或“不了解”，接受的处方流转服务以在线问诊服务（169例，84.50%）和药品配送服务（106例，53.00%）为主，平均等待时间和期望等待时间均以1～5min为主；需求人数最多（145例，72.50%）和需求度最大（3.585分）的服务内容均为药品配送服务；大多数受访患者的支付费用意愿态度为“一般愿意”（83例，41.50%），大部分受访患者的意愿支付价格为≤5元/次（92例，46.00%）；有73.0%的受访患者对处方流转服务表示“满意”或“比较满意”。单因素分析结果表明，对患者处方流转服务满意度的主要影响因素是服务知晓程度、服务等待时间、患者需求满足程度和患者支付意愿程度。结论受访患者总体对处方流转服务表示满意，满意度较高的服务内容为药品配送服务，且患者对处方流转服务的意愿支付价格较低。建议有关部门可加大对处方流转服务的宣传力度，完善处方流转服务内容并降低处方流转服务的支付价格，在方便患者的同时提高我国医疗体系运行效率。 |
| ABSTRACT： | OBJECTIVE To provide reference for perfecting prescription circulation service and related platforms construction and improving online medical service level. METHODS A questionnaire was designed after literature review and consulting expert opinions. Patients who had received prescription circulation service in the prescription circulation platform of a Grade-A third-class hospital in Sichuan Province from November 22， 2019 to May 2022 were randomly selected， and the knowledge， attitude and practice of prescription circulation service were investigated by questionnaires， which were sent through telephone contact and short message. RESULTS A total of 285 patients were investigated， and the number of effective responses was 200. Most of the surveyed patients in prescription circulation service for 1-5 times in the past year （129 cases， 64.50%）； 77.0% of the patients had a “general understanding” or “no understanding” of prescription circulation services， and the main prescription circulation services they received were online consultation service （169 cases， 84.50%） and drug delivery service （106 cases， 53.00%）. The average waiting time and expected waiting time were 1-5 min. The services with the largest number of demand （145 cases， 72.50%） and the highest demand （3.585 points） were drug delivery services. Most of the respondents’ willingness to pay was “general willingness” （83 cases， 41.50%）， and most of the patients were willing to pay less than or equal to 5 yuan per time （92 cases， 46.00%）. Totally 73.0% of the surveyed patients were “satisfied” or “relatively satisfied” with the prescription transfer service. The results of univariate analysis showed that the main factors influencing patients’ satisfaction with prescription circulation service were service awareness， service waiting time， patients’ demand satisfaction and patients’ willingness to pay. CONCLUSIONS The surveyed patients are generally satisfied with prescription circulation service， and the service content with high satisfaction is drug distribution service， and patients are willing to pay a lower price for prescription circulation service. It is suggested that relevant departments should strengthen the publicity of prescription circulation service， improve the content of prescription circulation service and reduce the payment price of prescription circulation service， so as to improve the operation efficiency of Chinese medical system while facilitating patients. |
| 期刊： | 2023年第34卷第04期 |
| 作者： | 郭一娇；刘德阳；胡明；张鹏 |
| AUTHORS： | GUO Yijiao，LIU Deyang，HU Ming，ZHANG Peng |
| 关键字： | 处方流转；四川；知信行调查；问卷；满意度；效果 |
| KEYWORDS： | prescription circulation； Sichuan； knowledge， |
| 阅读数： | 148 次 |
| 本月下载数： | 4 次 |
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