关键词: 医师, 家庭；投药, 口服；认知；数据收集

Abstract: Objective　To investigate the awareness and appropriate prescribing of oral sustained- and controlled-release products in family doctors，providing a reference for the implementation of prescribing training in community healthcare organizations and for the improvement of rational use of drugs in family doctors.Methods　This face-to-face survey was conducted between June and December 2017 in all the family doctors from Yuetan Community Health Service Center located in Beijing Xicheng district and Xinhua Community Health Service Center located in Beijing Tongzhou district using a self-designed questionnaire consisting of demographic characteristics，awareness and appropriate prescribing of oral sustained- and controlled-release products and methods for improving the appropriate use of oral sustained- and controlled-release products in patients.Results　Sixty-two questionnaires were distributed，and 62 valid questionnaires were collected at the scene.The recovery rate of the questionnaires was 100.0%.They showed high awareness level of oral sustained- and controlled-release products，as indicated by therapeutic and side effects of oral sustained- and controlled-release products were generally mastered by 91.9% （57/62），88.7% （55/62） of them，respectively.All of them encountered patients who could not take oral sustained- and controlled-release products properly and thought that medication guidance was needed in patients.Higher educated family doctors demonstrated a better grasp of the types of drugs suitable for the preparation of sustained- and controlled-release formulations （P=0.003），whether oral sustained- and controlled-release products with or without scar could be taken apart （P=0.022，P=0.003），whether oral sustained- and controlled-release products with scar could be administered by nasal feeding （P=0.030），whether the shell of skeleton-type sustained- and controlled-release formulation could be excreted with the feces （P=0.014） and other aspects.Family doctors who were older or with a higher professional and technical title had a better grasp of prescribing oral sustained- and controlled-release products appropriately based on the patient's conditions and paid more attention to offer medication guidance to the patients （P<0.05）．For the question who refer to the medication guidelines of oral sustained- and controlled-release products for patients is appropriate，53.2% （33/62） of family doctors to choose general practitioners，41.9% （26/62） of family doctors to choose community pharmacists，the family doctors at Yuetan Community Health Service Center were more likely to think that it is more appropriate for community pharmacists to take medication guidance for patients with oral sustained- and controlled-release products，while family doctors at Xinhua Community Health Service Center think more that they were done by general practitioners （P<0.05）．Conclusion　As a whole，the family doctors did not have a comprehensive grasp of the administration ways for oral sustained- and controlled-release products and did not offer proper enough medication guidance to the patients.In view of this，the awareness levels of oral sustained- and controlled-release products among both family doctors and patients are suggested to be taken into account when developing the schemes for training and propaganda of rational use of oral sustained- and controlled-release products，and pharmacists are suggested to participate in the workforce for giving targeted medication guidance.

Key words: Physicians, family；Administration, oral；Cognition；Data collection