Page 19 - 《中国药房》2023年4期

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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郭一娇 ，刘德阳 ，胡 明 ，张 鹏 （1.四川大学华西药学院，成都 610041；2.遂宁市中心医院药学部，四川
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遂宁 629099）
中图分类号 R95 文献标志码 A 文章编号 1001-0408（2023）04-0397-05
DOI 10.6039/j.issn.1001-0408.2023.04.03

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1～5 min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。
关键词 处方流转；四川；知信行调查；问卷；满意度；效果

Evaluation of implementation situation of prescription circulation service in medical institutions based on
patient KAP survey
GUO Yijiao ，LIU Deyang ，HU Ming ，ZHANG Peng（1. West China School of Pharmacy， Sichuan University，
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Chengdu 610041， China；2. Dept. of Pharmacy， Suining Central Hospital， Sichuan Suining 629099， China）
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
Δ 基金项目 四川省科技计划软科学项目（No.2020JDR0055）
service， so as to improve the operation efficiency of Chinese
＊第一作者 硕士研究生。研究方向：药物政策与药物经济学。E-
mail：838099386@qq.com medical system while facilitating patients.
# 通信作者 主任药师，硕士。研究方向：医院药事管理。E-mail： KEYWORDS prescription circulation； Sichuan； knowledge，
463121551@qq.com attitude and practice survey； questionnaire； satisfaction； effect

中国药房 2023年第34卷第4期 China Pharmacy 2023 Vol. 34 No. 4 · 397 ·