| Summary: | Introduction
The aim of this study was to understand the
knowledge and current situation of antibiotic use among
primary doctors in Sichuan Province, 10 years after the
new healthcare reform, to analyze the implementation and
impact of the relevant policies of the new healthcare reform,
to analyze the reasons for the irrational use of antibiotics,
and to provide relevant suggestions for the rational use of
antibiotics.
Methods
From August 2018 to March 2019, five counties
(cities) were randomly selected according to the level of
urban development and geographical distribution in Sichuan
Province, China. Various primary medical institutions and
private clinics were randomly selected at different levels.
Questionnaires and on-site interviews were conducted to
quantitatively analyze doctors’ knowledge of antibiotic use
and current situation. Views on antibiotic use were analyzed
qualitatively and from multiple perspectives. A total of 492
questionnaires were issued, 430 of which were valid, with an
effective recovery rate of 87.4%
Results
Quantitative analysis showed that 92.1% of 430
doctors surveyed knew the rules and authority of antibiotic
use; 83.5% participated in antibiotic knowledge training;
56.7% would abide by guidance on antibiotic use; 72.6%
thought that their knowledge of antibiotics needed to be
improved. The rank-sum test shows that the cognitive
differences of doctors with or without relevant training
experience are statistically significant (p=0.018), those with
the relevant training were better than the untrained doctors;
the cognitive differences of doctors with different working
years were statistically significant (p=0.038), and the doctors
working under 10 years were better than those with 10–20
years; There was no significant difference in the correct rate
of antibiotic use among doctors with different academic
qualifications (p=0.077). There was no significant difference
in knowing the correct rate of antibiotic use among doctors
of different genders (p=0.076).
Conclusions
Ten years after the introduction of the new
healthcare reform policy, the improvement of antibiotic use
is still far from the expected goal; the knowledge of antibiotic
rational use of doctors in primary medical institutions needs
to be strengthened, especially in village clinics and private
clinics; joint efforts of doctors, patients and supervisors are
needed to promote the rational use of antibiotics.
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