慢性病患者药店购药行为意向的影响机制探讨:计划行为理论视角下的实证研究

发布时间：2018-04-29 16:12

本文选题：慢性病 + 药店　；参考：《中国全科医学》2015年12期

【摘要】：目的剖析慢性病患者药店购药意向及其影响因素,合理引导慢性病患者购药流向,降低患者负担和医疗负担,发挥药店在药品市场和慢性病管理服务中的作用。方法 2013年9—11月采用随机抽样的方法在南京市社区、医院、药店多地对196例慢性病患者进行一对一访谈,开展小样本预调查;2014年3—6月对401例慢性病患者开展大样本调查。运用计划行为理论探讨态度、主观规范和知觉行为控制等对药店购药行为意向的影响,设计基于计划行为理论的访谈量表,建立慢性病患者药店购药意向模型,并运用LISREL 8.70软件对实证数据进行结构方程模型分析。结果态度对慢性病患者药店购药行为意向的影响最显著,其次是知觉行为控制,而主观规范对行为意向并不产生直接影响。结论强化慢性病患者对药店购药的正向态度和感知控制力是促进行为意向形成的最有效途径。药店应增强自身经营实力和慢性病管理服务资质,更好地满足患者购药需求,分流慢性病药品消费群,促进患者负担和医疗负担的降低。
[Abstract]:Objective to analyze the drug purchase intention and its influencing factors in pharmacies of patients with chronic diseases, to guide them to purchase drugs reasonably, to reduce the burden of patients and medical care, and to give play to the role of drugstores in the drug market and chronic disease management services. Methods from September to November, 2013, 196 patients with chronic diseases were interviewed in Nanjing community, hospitals and pharmacies by random sampling method. A small sample survey was conducted and a large sample survey was conducted in 401 patients with chronic diseases from March to June 2014. The influence of attitude, subjective norm and perceptual behavior control on drug purchase intention of pharmacies was discussed by using the theory of planned behavior. An interview scale based on the theory of planned behavior was designed to establish the drug purchase intention model of drug stores for patients with chronic diseases. The structural equation model of empirical data is analyzed by using LISREL 8.70 software. Results attitude had the most significant influence on drug purchase intention of drug stores of chronic disease patients, followed by perceptual behavior control, but subjective norms had no direct effect on behavior intention. Conclusion strengthening the positive attitude and perceptual control of drug purchase by patients with chronic diseases is the most effective way to promote the formation of behavioral intention. Drugstores should strengthen their own management strength and quality of chronic disease management service, better meet patients' demand for drug purchase, divide the consumption group of drugs for chronic diseases, and promote the reduction of patients' burden and medical burden.
【作者单位】：中国药科大学国际医药商学院;
【基金】：中央高校基本科研业务费专项资金资助(JKQ2011056) 江苏省高校哲学社会科学研究基金项目(2013SJD630128) 江苏省社科研究课题青年精品项目(13SQC-102)
【分类号】：R95

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