The Study Of Patient Medication Education Model Under The New Health Care Reform

Objective: Patient medication education (PME) originated in the late19th century inforeign countries while it carried out until1990s in China. PME as one important project ofPharmaceutical Care has been developed better in foreign countries, but it is still at theinitial stage in China. In order to know the popularity of PME, the obstacles and difficultiesin the implementation of PME, we carried out the systematical and normal survey, as thepublic in Guangdong(South China), Heilong Jiang(Northeast China), He‘Nan(CentralChina), Zhejiang(East China), Guizhou(Southwest China) and pharmacists in hospitals anddrug stores as the subjects, and did the deeply statistical analysis for the results to proposesuitable PME model for China.Methods: Consulting literature found that the range and subjects of investigation of PMEwere limited. The subjects of this research included patients, the general public andpharmacists. The range of this research included five provinces. Using qualitative methodof questionnaire to survey the subjects and pharmacists in each region to understand theirknowledge of PME. The qualified investigators handed out questionnaires, introduce fillingand reclaim them in sites. Examining the returned questionnaires carefully and screeningout the invalid questionnaires. Investigation data was enter to the EXCEL2003and handledwith software SPSS l9.0.Results: Large amount of questionnaires were issued with a wide range. Part of the publicquestionnaires: a total of3250questionnaires from Guangdong province were returned3184copies which325were invalid and the effective rate was87.97%; a total of1620 questionnaires from other provinces were returned1601copies which136were invalid andthe effective rate was90.43%. Other provinces public’s knowing-rate of PME was higherthan Guangdong province public but did not exceed10%; all topics had statisticallysignificant (P <0.05) excepted for the main body of the implementation of PME; thedifference in required fields were very large (P<0.0001).Part of the pharmacists’ questionnaires: a total of680questionnaires were returned673copies which131were invalid and the effective rate was79.71%. The mean scores of allkinds of topics were4.22. It illustrates that pharmacists agreed the contents; the standarddeviation of all topics was less than1.0. It illustrates that the discrepancy was tiny; therewas no statistically significant between pharmacy and hospital pharmacists in every topic(P>0.05).Conclusion: Low awareness and knowing-rate of public because of the low popularity ofPME in China. Most of the public said that they were more willing to accept PME fromhealth care workers and had low trust in pharmacists. The supporting-rate of establishingMedicine cases and regular-visiting were low. Therefore, the government should enactrelevant laws and regulations as soon as possible and set up publicity of PME to promotethe implementation of PME and improve public’s acceptance; pharmacists shouldconsolidate the knowledge of medicine and pharmacy, also should pay attention to thecommunication skills; the pharmaceutical colleges should change the mode of teaching andimprove students’ practical ability. A total of three different PME models were built thataccording to the proposal from public, pharmacists, specialist and the results of theresearch.