中国全科医学2017，Vol.20Issue(22)：2727-2731,5.DOI:10.3969/j.issn.1007-9572.2017.22.009
医疗救助对象对基本药物的接受度及影响因素研究
Level of Acceptance of the Essential Drugs and Associated Factors in Medical Aid Recipients
摘要
Abstract
Objective To investigate the level of acceptance of the essential drugs and associated factors in medical aid recipients in China after the implementation of essential medicine system.Methods From August to December 2012,1 700 Shandong families were sampled by using stratified multistage random sampling and surveyed by a self-developed National Essential Medicine System Questionnaire for Residents,involving the demographic data,medical history,treatment history,the level of awareness of the essential medicine system,and use of essential drugs.The survey achieved a response rate of 89.3%(1 518/1 700),involving 4 649 residents,of whom 252 were medical aid recipients.The level of acceptance of the essential drugs was compared between medical aid recipients grouped by demographic data.Multivariate stepwise Logistic regression analysis was performed to investigate the associated factors for the level of acceptance of the essential drugs in medical aid recipients.Results The level of acceptance of the essential drugs in the medical aid recipients was 85.7%(216/252).It varied by the residence,educational attainment,occupation,source of income,and status of enjoying the benefits from New Rural Cooperative Medical Scheme(P<0.05),while not by sex and age(P>0.05).The level of acceptance of the essential drugs differed significantly in medical aid recipients by level of the awareness of the essential medicine system,degree of trust in advertisements,and degree of trust in the doctor(P<0.05),while it did not by the disease occurred within two weeks before the survey,chronic disease history,in-hospital treatment history,quality of the essential drugs and awareness of the efficacy of the essential drugs(P>0.05).Multivariate stepwise Logistic regression analysis found that,residence,level of awareness of the essential medicine system,degree of trust in the advertisements and degree of trust in the doctor were the associated factors for the level of acceptance of the essential drugs in medical aid recipients(P<0.05).Conclusion The level of acceptance of the essential drugs in the medical aid recipients is high,which is affected by the residence,the level of awareness of the essential medicine system,the degree of trust in the advertisements,and the degree of trust in the doctor.In order to further improve the level of acceptance of the essential drugs in this population,it is suggested to increase the subsidy,expand the publicity of essential medicine system,enhance the awareness of advertisements and advance the degree of trust in the doctor.关键词
基本药物制度/医疗救助对象/接受度/影响因素分析Key words
Essential medicine system/Medical aid recipient/Acceptance/Root cause analysis分类
医药卫生引用本文复制引用
曹海虹,尹文强,吴倩倩,林经纬,马赫,宋春燕,陈钟鸣..医疗救助对象对基本药物的接受度及影响因素研究[J].中国全科医学,2017,20(22):2727-2731,5.基金项目
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 （71173158）
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 （15YJCZH065）
