摘要
目的:为帮扶贫困慢性病患者卫生脱贫,使其切实享有药品福利提供参考。方法:设计一种全面、普适的问卷调查量表,在江苏省连云港市和常州市进行预调研后,再在甘肃、河北、四川等3个地区进行正式调研。对调研结果采用因子分析法进行分析,并对4种慢性病患者的药品福利效应水平进行评分,找出不同慢性病患者药品福利效应的差异及其主要影响因素。结果:共发放问卷745份,最终收回有效问卷721份,有效回收率为96.8%。因子分析结果显示,慢性病患者药品福利效应可分为药品健康效应、药品公平效应、药品价格效应、药品可及效应、个人经济水平效应等5个维度。慢性病患者综合药品福利效应的平均得分2.56分(一般);糖尿病、心脑血管疾病、慢性呼吸系统疾病、恶性肿瘤患者药品福利效应的综合药品福利效应平均得分分别为3.12分(良好)、2.73分(一般)、2.56分(一般)、1.90分(较差)。影响慢病患者药品福利的关键因素依次为健康效应、药品公平效应、药品价格效应。结论:国家在制定相关政策时,应综合考虑慢性病患者的药品健康效应、药品公平效应、药品价格效应及药品可及效应,以制定更加全面有效的药品政策。
OBJECTIVE:To provide reference for helping poor patients with chronic diseases to get rid of poverty and enjoy drug welfare.METHODS:A overall general questionnaire was designed and conducted in Lianyungang City and Changzhou City of Jiangsu Province,and then conducted formal investigation in Gansu,Hebei and Sichuan.Factor analysis was used to analyze the survey results,and the drug welfare effects of 4 kinds of chronic diseases were scored,the difference and main influential factors of drug welfare effect for different chronic disease patients were found out.RESULTS:A total of 745 questionnaires were sent out,and 721 effective questionnaires were finally collected,with an effective recovery rate of 96.8%.Factor analysis results showed that the drug welfare effect of patients with chronic diseases can be divided into 5 dimensions such as drug health effect,drug fair effet,drug price effect,drug availability effect and personal economic level effect.The average score of comprehensive drug welfare effect of chronic disease patients was 2.56(general).The average scores of comprehensive drug welfare effects in patients with diabetes,cardiovascular and cerebrovascular diseases,chronic respiratory system diseases and malignant tumors were 3.12(good),2.73(general),2.56(general)and 1.90(poor).The key factors influencing the drug welfare of the patients with chronic diseases were health effect,drug fair effect,and drug price effect.CONCLUSIONS:In formulating relevant policies,the state should take drug health effect,drug fair effect,drug price effect and drug availability of chronic diseases into consideration,and formulate more comprehensive and effective drug policy.
作者
汤少梁
朱艳娇
王聪
TANG Shaoliang;ZHU Yanjiao;WANG Cong(College of Health Economics Management,Nanjing University of Chinese Medicine,Nanjing 210023,China)
出处
《中国药房》
CAS
北大核心
2020年第4期390-396,共7页
China Pharmacy
基金
国家自然科学基金资助项目(No.71673148)
江苏高校哲学社会科学研究重点项目(No.2018SJZDI074)
关键词
慢性病患者
药品福利效应
因子分析
问卷调查
Chronic disease patients
Drug welfare effect
Factor analysis
Questionnaire investigation
