Abstract: Objective To know the cognition degree and reported condition on adverse drug reactions (ADR) of the basic medical institutions in China, analyze the problems of ADR reporting in it, and to provide references for training scheme. Methods With the anonymous survey questionnaires, we investigated the grassroots medical staff which from 1 109 basic medical institutions in 29 provinces. The contents of questionnaires included the basic information of respondents, the cognition of ADR, the situation of ADR reporting and feedback. Then we made classification, induction, statistics and analysis to survey questionnaire information. Results 1 109 questionnaires were distributed, and the recovery was 100%. 53.02% of the people who had been investigated was western medicine professional, 13.44% was Chinese medical professional and 29.76% was integrated Chinese and western medical professional and 86.30% had technical secondary school or college degree. There were 428 basic medical institutions who reported ADR, accounting for 38.59% of the total. 69.79% of basic medical institutions could understand concept of ADR, 70.87% could distinguish the type of ADR, but only 10.82% could understand the occurrence reason of ADR, 68.71% didn’t know reporting requirement of ADR. Besides, rewards could promote basic medical institutions to report ADR. Conclusion Many basic medical institutions have lower cognition, and lack of understanding in reporting process of ADR. Having bonus rewards can improve the positivity in reporting ADR. It is necessary for basic medical institutions to implement systematic trains of ADR cognition and reporting, and adopt proper measures of help and rewards to promote basic medical institutions to report ADR better.

Key words: basic medical institutions, adverse drug reaction, ADR reporting, investigation