To investigate the attitudes of different groups towards the construction of a mechanism for managing the prescription rights of public health physicians in Sichuan Province, with the goal of offering references for policy-making.
Through questionnaires combined with in-depth expert interviews, relevant staff from CDCs, general hospitals, health administrative departments, primary healthcare institutions at various levels in Sichuan Province, and scientific research institutions were surveyed towards the process and management mechanism of granting prescription rights to public health physicians.
The respondents supported granting prescription rights directly to public health physicians who passed the third level hospital training (94.43%) or obtained a physician qualification certificate (93.73%). There were significant differences in the perception of prescription approval departments among different groups. Public health physicians (33.93%) and medical school teachers (42.47%) tended to favor provincial health administrative department approval and empowerment, while clinical physicians (33.74%), health administrative personnel (31.25%), and patients (35.08%) were more supportive of physician practice institution approval and empowerment. In terms of operational mechanism, the survey respondents supported the supervision and management of public health physicians’ prescription rights by county (district) health administrative departments (39.16%), and conduct regular assessments every two years (60.14%).
The granting of prescription rights to public health physicians should be steadily promoted at different levels, institutions, and departments. It is suggested to establish a hierarchical training path and differentiated assessment standards, as well as a dual-track regulatory system of "provincial coordination institutional execution". At the same time, promote legal rights confirmation and closed-loop management mechanisms to ensure the legal and compliant use of prescription rights by public health physicians.
| 科 Family | 属数 Number of genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) | 属 Genus | 种数 Number of species | 占总种数比例 Percentage of total species (%) |
|---|---|---|---|---|---|---|
| 鹅膏菌科Amanitaceae | 2 | 11 | 5.26 | 鹅膏菌属 Amanita | 10 | 4.78 |
| 小菇科 Mycenaceae | 2 | 12 | 5.74 | 丝盖伞属 Inocybe | 5 | 2.39 |
| 多孔菌科 Polyporaceae | 8 | 14 | 6.70 | 蜡蘑属 Laccaria | 5 | 2.39 |
| 红菇科 Russulaceae | 3 | 23 | 11.00 | 小皮伞属 Marasmius | 6 | 2.87 |
| 小菇属 Mycena | 11 | 5.26 | ||||
| 光柄菇属 Pluteus | 5 | 2.39 | ||||
| 红菇属 Russula | 17 | 8.13 | ||||
| 栓菌属 Trametes | 5 | 2.39 |