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南京中医药大学卫生经济管理学院,南京 210046
Received:11 March 2022,
Revised:2022-08-15,
Published:15 October 2022
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徐赟,汤少梁.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 Δ[J].中国药房,2022,33(19):2418-2422.
XU Yun,TANG Shaoliang.Sense of drug welfare acquisition and its influencing factors in patients with chronic diseases under the background of centralized drug purchasing[J].ZHONGGUO YAOFANG,2022,33(19):2418-2422.
徐赟,汤少梁.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 Δ[J].中国药房,2022,33(19):2418-2422. DOI: 10.6039/j.issn.1001-0408.2022.19.23.
XU Yun,TANG Shaoliang.Sense of drug welfare acquisition and its influencing factors in patients with chronic diseases under the background of centralized drug purchasing[J].ZHONGGUO YAOFANG,2022,33(19):2418-2422. DOI: 10.6039/j.issn.1001-0408.2022.19.23.
目的
2
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
2
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
2
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。
OBJECTIVE
2
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
2
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
2
&
CONCLUSIONS
2
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 centra
lized 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.
李旭琴 , 杨惠赟 , 毛凤飞 , 等 . 新版Beers标准评价社区多病种慢性病老年患者潜在性不适当用药的探索 [J ] . 世界临床药物 , 2015 , 36 ( 9 ): 618 - 622 .
TANGS L , XU Y , LI Z J , et al . Does economic support have an impact on the health status of elderly patients with chronic diseases in China?Based on CHARLS (2018) data research [J ] . Front Public Health , 2021 , 9 : 658830 .
王维娜 , 沈素 . 门诊老年慢性病患者用药依从性及其影响因素的调查分析与药师干预措施 [J ] . 中国医药导报 , 2016 , 13 ( 11 ): 52 - 55,59 .
周萍 , 赵翔 , 艾丹丹 , 等 . 新时期药品带量采购机制研究 [J ] . 中国卫生经济 , 2019 , 38 ( 5 ): 78 - 80 .
于长永 . “4+7”药品带量采购的实践效果与制度隐忧 [J ] . 西南民族大学学报(人文社科版) , 2020 , 41 ( 4 ): 34 - 39 .
李玉水 , 康洽福 , 韩雅清 , 等 . 药品带量采购对患者医疗负担的政策效应研究 [J ] . 卫生经济研究 , 2021 , 38 ( 4 ): 28 - 32 .
谭清立 , 杨思远 , 李文静 , 等 . “4+7”药品带量采购的效果、关键问题与对策:基于广州的实践 [J ] . 卫生经济研究 , 2020 , 37 ( 4 ): 46 - 50 .
钟陆文 . 基于消费者剩余视角的适宜消费城市评价指标体系构建 [J ] . 消费经济 , 2017 , 33 ( 5 ): 44 - 49 .
殷婷 , 汤少梁 . 基于消费者剩余理论的患者药品福利研究 [J ] . 卫生经济研究 , 2019 , 36 ( 2 ): 13 - 15,19 .
罗龙秋 . 国外药品需求研究评述 [J ] . 中国卫生经济 , 2011 , 30 ( 9 ): 95 - 97 .
汤少梁 , 朱艳娇 , 王聪 . 基于因子分析的慢性病患者药品福利效应提升研究 [J ] . 中国药房 , 2020 , 31 ( 4 ): 390 - 396 .
赵锐 . 基于利益主体响应视角的碳标签实践机遇与挑战 [J ] . 四川师范大学学报(自然科学版) , 2021 , 44 ( 6 ): 711 - 719,708 .
张翠萍 , 曾绍文 , 罗盛 , 等 . 山东省基本医疗保险门诊慢性病管理政策梳理及评价 [J ] . 卫生经济研究 , 2021 , 38 ( 10 ): 43 - 46,51 .
王煜昊 , 徐伟 , 路娜娜 , 等 . “4+7”集中带量采购实施效果分析:基于9试点地区药品销售数据 [J ] . 中国卫生政策研究 , 2021 , 14 ( 2 ): 36 - 43 .
周菁菁 , 谈在祥 . 我国药品带量采购政策实施效果研究:以S医院为例 [J ] . 卫生经济研究 , 2021 , 38 ( 10 ): 52 - 55 .
徐燕君 . 社区医院“4+7”药品采购现状分析 [J ] . 中医药管理杂志 , 2020 , 28 ( 20 ): 201 - 202 .
邱皓 . 北京市某社区卫生服务中心执行药品集中采购政策后心脑血管药物使用情况分析 [J ] . 实用心脑肺血管病杂志 , 2021 , 29 ( 8 ): 104 - 109,115 .
张丽红 , 单海慧 . 老年慢性病患者用药现状 [J ] . 中国老年学杂志 , 2018 , 38 ( 11 ): 2776 - 2778 .
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