Objective:To understand the prescription filling behavior of outpatients, and its influencing factors under different level hospitals in Zhengzhou.Methods: The data was collected by surveying 1,087 outpatients from primary health center, secondary and tertiary hospitals in Zhengzhou.Quantitative data was used descriptive analysis and chi-square test with SPSS16.0.Results: There are only 13.89% respondents who filled prescription at retail pharmacy outside hospitals and 86.11% respondents who filled prescription in hospital pharmacy after seeing the doctors.The related factors of which influence behaviors of prescription filling of outpatients include: patients can't get compensation from health insurance foundation if prescriptions been filled out of hospital, patients worried about the quality of the drugs sold in retail pharmacy.Conclu-sion: The phenomenon of prescription highly concentrated in hospital impeded the separation of prescription .We can promote prescription outflow from hospitals by reforming our current health care system, thereby achieve the goal of separation of prescription and dispensing.

Objective:To understand the drug purchase behaviors and prescription flows of outpatients and their influencing factors. Methods: After selecting and investigating tertiary hospitals, secondary hospitals, community health service centers ( one per each level) in Beijing, Zhengzhou, Guangzhou, this paper uses structured question-naire method to analyze 3,155 valid questionnaires. A logistic regression analysis is performed to understand the fac-tors influencing the drug purchase behaviors. Results:The factors influencing the drug purchase behaviors of outpa-tients mainly include the region where the patient is, level of the hospital, type of health insurance that the patient has, frequency of drug purchase, etc. Conclusions: This paper suggests hospital administrators to take measures to improve prescription flows, such as reforming the health care insurance to make payment system more suitable for pharmacies standardizing supply channels in order to make varieties consistent between hospitals and pharmacies, strengthening education and publicity to raise the outpatients’ awareness for drug purchase outside of hospitals, etc.