医疗救助对象对基本药物的接受度及影响因素研究

发布时间：2018-07-09 21:44

本文选题：基本药物制度 + 医疗救助对象　；参考：《中国全科医学》2017年22期

【摘要】：目的探讨基本药物制度实施后医疗救助对象对基本药物的接受度及影响因素。方法于2012年8—12月,采用多阶段分层随机抽样法在山东省抽取1 700户居民进行调查。调查工具为本课题组自行设计的"国家基本药物制度居民调查表",内容包括居民基本情况、患病与就诊情况、基本药物制度认知、用药行为。共发放问卷1 700份,有效回收1 518份,涉及居民4 649例,其中医疗救助对象252例。比较不同特征医疗救助对象对基本药物的接受度,采用多因素Logistic逐步回归分析探讨医疗救助对象对基本药物接受度的影响因素。结果医疗救助对象对基本药物的接受度为85.7%(216/252)。不同居住地、文化程度、职业、收入来源及是否参加新农合医疗救助对象对基本药物的接受度比较,差异有统计学意义(P0.05);不同性别、年龄医疗救助对象对基本药物的接受度比较,差异无统计学意义(P0.05)。是否2周内患病、是否患慢性病及是否住院治疗医疗救助对象对基本药物的接受度比较,差异无统计学意义(P0.05)。是否了解基本药物制度、是否信任广告及是否信任医生处方医疗救助对象对基本药物的接受度比较,差异有统计学意义(P0.05);不同基本药物质量、基本药物疗效认知医疗救助对象对基本药物的接受度比较,差异无统计学意义(P0.05)。多因素Logistic逐步回归分析结果显示,居住地、是否了解基本药物制度、是否信任广告、是否信任医生处方是医疗救助对象对基本药物接受度的影响因素(P0.05)。结论医疗救助对象对基本药物的接受度较高,影响因素包括居住地、是否了解基本药物制度、是否信任广告及是否信任医生处方。可以通过增加对城乡医疗救助对象的补助,扩大基本药物制度的宣传,提高医疗救助对象对广告的认知水平及对医生处方的信任程度,来提高医疗救助对象对基本药物的接受度。
[Abstract]:Objective to investigate the acceptance of essential drugs and its influencing factors after the implementation of essential drug system. Methods from August to December, 2012, 1 700 households in Shandong Province were investigated by multi-stage stratified random sampling. The investigation tool is the residents questionnaire of National essential Drug system designed by our group, which includes the basic condition of residents, the condition of illness and treatment, the cognition of essential drug system, the behavior of drug use. A total of 1 700 questionnaires were sent out, and 1 518 copies were effectively recovered, including 4 649 cases involving residents, among which 252 cases were medical aid recipients. The acceptance of essential drugs was compared among different characteristics of medical aid objects. Multivariate logistic stepwise regression analysis was used to explore the influencing factors of medical aid recipients' acceptance of essential drugs. Results the acceptance of essential drugs was 85.7% (216 / 252). There were significant differences in the acceptance of essential drugs among different places of residence, education, occupation, income sources and whether or not they participated in NCMS medical assistance (P0.05). There was no significant difference in the acceptance of essential drugs in patients with age (P0.05). There was no significant difference in the acceptance of essential drugs between patients with chronic diseases and hospitalized patients within 2 weeks (P0.05). There were significant differences in whether to understand the essential drug system, whether to trust the advertisement and whether to trust the acceptance of the essential drugs among the medical aid recipients of doctors' prescriptions (P0.05); the quality of different essential drugs, There was no significant difference in the acceptance of essential drugs (P0.05). The results of multivariate logistic stepwise regression analysis showed that place of residence, understanding of essential drug system, trust in advertising, and trust in doctor's prescription were the factors influencing the acceptance of essential drugs (P0.05). Conclusion Medical aid recipients have a high acceptance of essential drugs. The influencing factors include residence, understanding of essential drug system, trust in advertisements and doctors' prescriptions. By increasing the subsidy to the medical aid recipients in urban and rural areas, expanding the publicity of the basic drug system, and improving the cognitive level of the medical aid recipients to advertisements and their trust in doctors' prescriptions, To increase the acceptance of essential drugs in medical aid recipients.
【作者单位】：潍坊医学院公共卫生与管理学院;健康风险预警治理协同创新中心;"健康山东"
【基金】：国家自然科学基金资助项目(71173158)——我国基本药物制度实施影响评估与政策优化研究——以山东省为例教育部人文社会科学研究规划基金青年基金项目(15YJCZH065)——基本药物制度背景下我国居民用药行为形成机制及预控策略研究
【分类号】：R197.1

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