居民对社会药房用药指导服务的支付意愿及影响因素调查
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篇名: 居民对社会药房用药指导服务的支付意愿及影响因素调查
TITLE: Study on residents’willingness to pay for community pharmacies’medication guidance services and its influencing factors
摘要: 目的 探讨乌鲁木齐市居民对社会药房用药指导服务的支付意愿及影响因素,为社会药房服务优化及用药指导服务收费的设立提供数据支撑。方法采用分层配额抽样方法,在乌鲁木齐市抽取14个社区,于2025年4-6月对社区成年居民开展线下和线上相结合的问卷调查。采用条件价值估计法,在问卷中构建3种社会药房用药指导的假设场景(分别为基础型、强化型、延伸型服务场景),调查居民对社会药房用药指导服务的支付意愿;采用二元Logistic回归分析探讨支付意愿的影响因素。结果共获取有效问卷576份,在基础型、强化型、延伸型服务场景下,分别有38.54%、49.65%、67.19%的受访者愿意支付服务费。工作种类、基本医保类型、年收入、对药师职业的认知以及服务的接受程度等是支付意愿的重要影响因素(P<0.05)。结论乌鲁木齐市居民对社会药房用药指导服务的支付意愿随服务内容丰富度显著提升。建议将基础型服务项目纳入医保支付范畴,增值服务可由居民部分自付或全额自付,并加强执业药师职业和服务价值的宣传工作,以促进药学服务的高质量发展。
ABSTRACT: OBJECTIVE To explore the willingness to pay (WTP) of Urumqi residents for community pharmacies’ medication guidance services and its influencing factors, so as to provide data support for the optimization of community pharmacy services and the establishment of a fee structure for medication guidance services. METHODS A stratified quota sampling method was employed to select 14 communities in Urumqi City. From April to June 2025, a combined offline and online questionnaire survey was conducted among adult residents in these communities. The contingent valuation method was used to construct three hypothetical scenarios (namely, basic, enhanced and extended services) of medication counselling in community pharmacies to assess residents’ WTP for these services. Binary Logistic regression was employed to analyze the influencing factors of WTP. RESULTS A total of 576 valid questionnaires were obtained. Under the scenarios of basic, enhanced and extended services, 38.54%, 49.65% and 67.19% of the respondents expressed WTP for the services, respectively. Occupational type, type of basic medical insurance, annual income, perception of pharmacists’ profession, and acceptance level of the service were identified as major influencing factors for WTP (P<0.05). CONCLUSIONS The willingness of residents in Urumqi to pay for medication counseling services provided by pharmacists in community pharmacies significantly increases with the enrichment of service content. It is recommended to incorporate basic medication counselling services provided by pharmacists in community pharmacies into medical insurance payment, while value-added services should be partially or fully self-paid by residents. Additionally, efforts should be made to strengthen the promotion of the professional and service value of licensed pharmacists, so as to facilitate the high-quality development of pharmaceutical care.
期刊: 2025年第36卷第22期
作者: 李明月;张江涛;康震;高慧;廖文韬;程路峰
AUTHORS: LI Mingyue,ZHANG Jiangtao,KANG Zhen,GAO Hui,LIAO Wentao,CHENG Lufeng
关键字: 社会药房;支付意愿;药师服务;用药指导;条件价值估计法
KEYWORDS: community pharmacies; willingness to pay; pharmacists sevices; medication guidance; contingent valuation method
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