Objective To provide basic data for further application of national essential medicine list(EML) in Chengdu,through a survey of key-workers or persons,who attended lecture of EML,in charge of village town hospitals or community medical service centers,and to nd out their awareness of and attitudes to essential medicine and requirements and suggestions for EML training.Methods Based on principles and methods of modern cognitive psychology,we designed questionnaire and carried out survey face to face.Two people input data independently and veri ed them.Proportions were used to analyze data through Excel so ware.Results(1) e proportions of correct answers to questions of essential medicine conception,use range of EML and relationship between EML and essential insurance medicines list were 89%,91% and 87%,respectively.(2) 46% of persons investigated(117 persons) chose always preferentially using essential medicine when prescribing,31%(81 persons) consider using essential medicine in most cases.(3) 41% of persons investigated(103 persons) chose comparatively welcome for EML.(4) Problems of implementing EML in village town hospitals or community medical service centers,in order of importance decreasing,were:income and compensation,awareness of essential medicine and prescribing habit of doctor,patient's cognition of essential medicine and preference to drug use,safety and e ectiveness of essential medicine,the applicability of essential medicine and the purchase and delivery of essential medicine,respectively.(5) e ways of getting information of essential medicine were 19.6%(187 person-time) through documents,18.6%(177 persontime) through conferences and 15.3%(146 person-time) through lectures.(6) 60% of persons investigated(154 persons) attended of essential medicine once or twice.(7) 77% of persons investigated(196 persons) were trained for less than one week for essential medicine.(8) Requirements and suggestions on of essential medicine:42%(71 person-time) enlarging targeted people,22%(38 person-time) increasing time,16%(27 person-time) improving practicability and speci city of contents,11%(18 person-time) diversifying ways,9%(15 persontime) requiring training according to needs which addresses speci c problems a er investigation.Conclusion Training of essential medicine should be strengthened for medical workers in village town hospitals or community medical service centers,and researches should be carried out on evaluation of EML applicability,performance of EML implementation,nancial aiding,income of medical worker,procurement and reimburse,etc.

<span id="ChDivSummary" name="ChDivSummary" class="abstract-text">成都市卫生行政部门通过加强硬件建设,搭建公共卫生服务逐步均等化的基础平台、重视服务标准建设,逐步缩小城乡基本公共卫生服务差距、建立绩效考核机制,提高公共财政资金使用效率等,初步探索出了统筹城乡与基本公共卫生服务逐步均等化的创新路径。</span>

Objective To provide evidence for the establishment of an essential medicines list,we investigated the institutional medicine supply in rural hospitals and community health service centers in Chengdu.Methods The trained investigators collected medicine sales records and information about the management of institutional pharmacies. Through in-depth interviews with the pharmaceutical personnel,we inquired into the drug supervision and supply networks in rural areas.Then we performed secondary research based on a comparative analysis of drug classification, administration and pharmacies in developed countries.Results Seven township hospitals/community health service centers had pharmacies,facilities,storage,and a clean environment.Three of them used electrical databases to manage medicine sales records.Five township hospitals and 5 village medical rooms purchased medicines from the drug supervision and supply networks every week.In this way,they ensured the quality and accessibility of drugs in rural areas. In the urban community health service centers,medicines were supplied based on the traditional commercial distribution system.Conclusion Rational allocation of health resources to set up institutional pharmacies and village medicine rooms is important.The supervision of village medical rooms must be stricter.We should expand the use of electrical databases and integrate the supervision and supply networks with the supply system of the essential medicines.

目的探求科学合理的医疗服务需求估计方法,以便科学地制订区域卫生规划.方法采用回顾性分析及计量经济模型,以某一特大城市的19个县、区作为区域,进行医疗服务需求的预测.结果根据多个社会、经济因素对医疗卫生服务的影响,得到门诊和住院服务需求模型,并举例说明当价格上涨15%及20%时,19个区域未来的医疗卫生服务需求.结论计量经济模型可用作测量医疗卫生服务需求的工具,但尚有需改进之处.