中国の国家集中医薬品調達政策に関する医療従事者の知識,態度,実践:山西省における横断的な研究
Qian Shen1, Limin Kang1, Dan Ye2
1Department of Pharmacy, The Second Affiliated Hospital of Xi'an Jiaotong University, Xi'an, China.
Frontiers in public health
|September 5, 2025
まとめ
山西の医療従事者は,国家集中医薬品調達 (NCDP) 政策に対する適度な知識とポジティブな態度を示していますが,実践は改善する必要があります. 薬剤師はNCDPの成功の鍵です
科学分野:
- 健康政策と管理
- 製薬経済学
- 公衆衛生
背景:
- 2019年から中国で実施されている国家集中医薬品調達 (NCDP) 政策は,医薬品のコストと患者の財政負担を削減することを目的としています.
- 医療従事者 (HCP) は,NCDPの政策の重要な実施者です.
- 政策の成功には,NCDPに関する医療従事者の知識,態度,実践 (KAP) を評価することが不可欠です.
研究 の 目的:
- 西省のNCDP政策に関する医療従事者のKAPレベルを評価する.
- NCDPの実施に関する医療従事者のKAPに影響を与える要因を特定する.
- 医療従事者のNCDP政策に関する主な懸念を理解する.
主な方法:
- 西省の公立病院の1,257人の医療従事者に対して,横断的なオンライン調査が行われました.
- 人口統計,NCDPの知識,態度,実践に関する構造化されたアンケートで収集されたデータ.
- KAPレベルに関連する要因を決定するために,多変量ロジスティック回帰分析が使用され,適切な値の70%がカットオフされました.
主要な成果:
- 58.4%が適切な知識を持ち,63.2%が積極的であり,35.2%がNCDPに関する良い慣習を示した.
- 薬剤師はすべての領域で医師よりKAPが有意に優れていることを示した (p < 0. 01).
- 研修の出席,専門職,そして薬剤師であることは,KAPのより良い結果と関連付けられました.
結論:
- 山西の医療従事者はNCDPの知識とポジティブな態度を持っていますが,その実践は強化する必要があります.
- 薬剤師はNCDPの実施において重要な役割を果たし,標的型支援の必要性を強調しています.
- 治療効果と安全性の評価に焦点を当てた強化された研修は,医療従事者のNCDP政策の承認と実施を改善するために不可欠です.
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