Investigation on the Management Level of Chronic Diseases and the Current Situation of Rational Drug Use among Residents in Chengdu
Objective:To explore the current level of household chronic disease management and rational drug use among residents,in order to provide a reference for further comprehensive evaluation of the improvement of the rationality of household medication for chronic disease patients after the implementation of multiple whole chronic disease whole-course prevention and management policies such as"graded diagnosis and treatment"and"family doctors".Methods:Referring to the recommended method for selecting survey areas in the National Drug Status Assessment,Monitoring,and Evaluation Toolkit,and taking into account the actual situation in Chengdu and the difficulty of the survey,a stratified sampling method was used to distribute a total of 224 questionnaires,with 199 valid questionnaires collected.Descriptive statistical analysis was conducted on the questionnaire data.Results:From the perspective of respondents medication and chronic disease monitoring,94.27%of respondents took medication on time and according to doctor's advice,70.35%of respondents had means at home for monitoring chronic diseases,and the condition of chronic disease patients was stable(very stable 32.66%,relatively stable 57.29%).According to the survey results of geographical accessibility of surveyed households,80.9%of respondents believed that the location of public medical and health institutions was convenient(accessible in 10 to 30 minutes);the situation of"difficulty in purchasing drugs due to insufficient drug supply"had not occurred;in terms of affordability of drugs,over 90%of respondents enjoyed at least one type of medical insurance,and over 95%of respondents could afford the cost of drugs.According to the survey results on the management of chronic diseases in the community,more than half(62.81%)of the respondents clearly stated that they had health records,which were mostly established and stored by hospitals and community health service centers.However,11.06%of the respondents were still unclear about whether they had records.Conclusion:The self-management level of chronic disease patients in Chengdu is relatively high;the accessibility level of family medication in Chengdu is relatively high,and the burden of medication for chronic disease patients is reduced;the level of community chronic disease management in Chengdu needs to be improved.
chengduchronic disease managementrational administration of drugshousehold survey