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药品集中采购背景下慢性病患者药品福利获得感及影响因素
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| 篇名： | 药品集中采购背景下慢性病患者药品福利获得感及影响因素 |
| TITLE： | Sense of drug welfare acquisition and its influencing factors in patients with chronic diseases under the background of centralized drug purchasing |
| 摘要： | 目的 研究药品集中采购背景下慢性病患者药品福利获得感及影响因素。方法基于消费者剩余理论，对药品集中采购后慢性病患者药品福利获得感进行问卷调查与分析；建立有序Logit回归模型，探究慢性病患者药品福利获得感的影响因素。结果与结论共发放问卷285份，回收285份，其中有效问卷215份（有效率为75.4%）。问卷调查结果显示，受慢性病门诊补贴及购药习惯等因素的影响，药品集中采购模式下慢性病患者药品福利获得感并略有提高，其药品福利获得感受年龄、受教育水平、月收入、医保类型影响显著（P＜0.1或P＜0.05）。分析可知相较于药品集中采购带来的药品价格降低，慢性病患者药品福利获得感稍有提升；药品集中采购主要是借助于医保统筹增加慢性病患者的药品福利。国家应加强对公立医院中选药品使用考核，推进药品一致性评价，提升患者对中选药品的信赖度，借助医联体、分级诊疗平台提供用药服务，进而增加慢性病患者的药品福利。 |
| ABSTRACT： | OBJECTIVE To study the sense of drug welfare acquisition and its influencing factors in patients with chronic diseases under the background of centralized drug purchasing . METHODS Based on the theory of consumer surplus ，questionnaire survey and analysis were performed about the sense of drug welfare acquisition in patients with chronic diseases under the background of centralized drug purchasing . The ordered Logit regression model was established to investigate the influencing factors for the sense of drug welfare acquisition . RESULTS & CONCLUSIONS A total of 285 questionnaires were distributed and 285 were recovered ，of which 215 were valid （the effective rate was 75.4%）. The results of the questionnaire survey showed that ， influenced by factors such as chronic disease outpatient subsidies and drug buying habits ，the sense of drug welfare acquisition in chronic disease patients under the centralized drug purchasing mode had been significantly improved slightly ，and the age ， education level ，monthly income and medical insurance type had significant impact on the sense of drug welfare acquisition （P＜ 0.01 or P＜0.05）. Compared with the drop of drug price brought about by centralized drug purchasing ，the sense of drug welfare acquisition in chronic disease patients has been improved slightly . The centralized drug purchasing is mainly to further increase the drug welfare for patients with chronic diseases with the help of medical insurance overall planning . Our country should strengthen the assessment of selected drugs in public hospitals ；promote drug consistency evaluation to increase the trust of patients to selected drugs ；develop pharmaceutical services with the help of medical consortium and hierarchical diagnosis and treatment platform to increase the drug welfare of patients with chronic diseases. |
| 期刊： | 2022年第33卷第19期 |
| 作者： | 徐赟，汤少梁 |
| AUTHORS： | |
| 关键字： | 药品福利；药品集中采购；慢性病患者；消费者剩余；有序Logit回归分析 |
| KEYWORDS： | drug welfare ；centralized drug purchasing ；patients with chronic diseases ；consumer surplus ；ordered Logit |
| 阅读数： | 330 次 |
| 本月下载数： | 18 次 |
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