中国全科医学Issue(19)：2269-2273,5.DOI:10.3969/j.issn.1007-9572.2015.19.007
慢性病患者优先使用基本药物的影响因素分析
Influencing Factors for Patients With Chronic Diseases Being Given Priority to Use Essential Medicines
摘要
Abstract
Objective To investigate the influencing factors for patients with chronic diseases being given priority to use essential medicines,in order to provide scientific and realistic references for policy improvement. Methods By using multi-stage stratified random sampling method,1 518 households in five cities in Shandong Province were enrolled from August and December in 2012,among which 516 residents were with chronic diseases. Self-designed questionnaire survey was conducted on these patients,and the survey content included demographical and socioeconomic features,the utilization of medicines and services,medical security,the awareness of essential medicine system and the psychology and behavior of drug use. Results The awareness rate of essential medicine system was 37. 6%(194/516),the knowing rate of the zero-profit drug policy was 8. 9%(46/516),and the three chronic diseases with largest prevalence rate were hypertension(44. 2%,228/516),diabetes mellitus( 11. 2%,58/516 ) and cardiovascular diseases ( 9. 9%,51/516 ) . The multivariate logistic stepwise regression analysis(αinclusion =0. 15,αexclusion =0. 20)showed that a series of factors entered the regression equation,including local economy level,the availability of commonly used drugs for chronic diseases in grass-root medical settings,medicine expenses for the treatment of chronic diseases,the knowing status of the zero-profit drug policy,the efficacy of essential medicines,the propensity of drugstore choices with self - perceived illness and the awareness of the importance of medication compliance. Conclusion Influencing factors for patients with chronic diseases being given priority to use essential medicines include local economy level, the availability of commonly used drugs for chronic diseases in grass - root medical settings, medicine expenses for the treatment of chronic diseases, the knowing status of the zero - profit drug policy, the efficacy of essential medicines, the propensity of drugstore choices with self - perceived illness and the awareness of the importance of medication compliance. People in charge of the formulation and implementation of the essential medicine system should focus on the financial investment,the selection of essential medicines,the monitoring of distribution,long - term mechanism of the publicity of the policy and the intervention system of the drug use habits of patients with chronic diseases.关键词
基本药物/慢性病/影响因素分析Key words
Essential medicines/Chronic disease/Root cause analysis分类
医药卫生引用本文复制引用
胡金伟,尹文强,赵延奎,郭洪伟,胡式良,孙葵,张晓林..慢性病患者优先使用基本药物的影响因素分析[J].中国全科医学,2015,(19):2269-2273,5.基金项目
国家自然科学基金资助项目（71173158）；山东省高等学校人文社科研究计划项目 （）
