基于模糊集的村医抗生素不合理使用影响因素的定性比较分析*

Objective In order to promote the rational use of antibiotics of village doctors, we explored the influencing factors from internal factors and external factors, and explored the influence of different combination of factors on the unreasonable use of antibiotics by village doctors. Methods Prescription behavior process of 12 village doctors in 5 clinics in S and Y counties in Shandong province was observed via non-participant observation for 7 days. Using fsQCA3.0 software to conduct a qualitative comparative analysis of the data based on fuzzy sets. Results Irrational use of antibiotics of village doctors was caused by internal factors and external factors. The common avenues of irrational use of antibiotics of village doctors were combination of the lower medical income, lower diagnostic rate and poor prescription management. Conclusion The influencing factors of irrational use of antibiotics of doctors was result by combination of factors. Therefore, it is necessary to intervene from internal factors of doctors and the external environment together to effectively alleviate the problem of unreasonable use of antibiotics of village doctors.