中国药房2025，Vol.36Issue(18)：2226-2231,6.DOI:10.6039/j.issn.1001-0408.2025.18.02
湖北省住院患者药学服务需求及支付意愿现状调查及分析
Investigation and analysis of the current situation of pharmaceutical care demand and payment willingness of inpatients in Hubei Province
摘要
Abstract
OBJECTIVE To provide empirical basis for promoting the dynamic adjustment of the pharmaceutical care catalogue and the formulation of policies such as hierarchical payment of medical insurance.METHODS A multicenter cross-sectional survey method was adopted to conduct a questionnaire survey among 424 inpatients in 22 tertiary medical institutions in 12 prefecture-level cities of Hubei Province to evaluate their demand for pharmaceutical care,willingness to pay and preference for service forms.Combined with univariate and multivariate Logistic regression analysis,the influencing factors and key factors that affect patients'willingness to pay for pharmaceutical care were identified.RESULTS Only 39.86%of the patients were aware of pharmaceutical care or pharmacists,and 89.62%of the patients hope to receive pharmaceutical care.Among the 16 types of pharmaceutical care,the patients surveyed had a relatively high recognition rate for guidance on drug usage and dosage,notification of medication precautions,and the identification,prevention and handling of adverse drug reactions.96.70%,95.30%,and 94.12%respectively expressed strong approval and approval.The demand for services such as insurance-related policy consultation,popular science on the mechanism of drug action,and assessment of the combined use of traditional Chinese and Western medicines was relatively low,with 61.65%,68.47%,and 68.47%expressing strong approval and approval respectively.The positive influencing factors of willingness to pay were household monthly income＞5 000 yuan(OR=1.742),awareness of pharmaceutical care or pharmacists(OR=3.620),and the desire to receive pharmaceutical care(OR=4.686)(P＜0.05),while self-rating health as"good"(OR=0.390)was a negative influencing factor(P＜0.05).Cardiovascular and cerebrovascular diseases(54.48%)and antihypertensive drugs(45.05%)were the service scenarios that the surveyed patients most hope to be covered.85.14%of the patients preferred"service when needed",with a single service duration of less than 10 minutes being appropriate(84.43%),and the willingness to pay within 20 yuan being the main type(85.38%).CONCLUSIONS Based on the characteristics of patients'needs and payment behaviors,it is suggested that our country could consider establishing a hierarchical payment mechanism for pharmaceutical care,and focus on differentiated design in combination with diseases and medication situations.At the same time,the rights,responsibilities and service standards of resident pharmacists in the links such as medication reorganization and medical order review should be further clarified to comprehensively enhance the clinical value and policy operability of pharmaceutical care.关键词
药学服务需求/驻科药师/住院患者/支付意愿/分级服务/支付偏好/高血压Key words
pharmaceutical care demand/resident pharmacist/inpatient/willingness to pay/graded service/payment preference/hypertension分类
医药卫生引用本文复制引用
叶小春,李程程,李璐璐,邓体瑛,刘杨从,李笛,张韶辉..湖北省住院患者药学服务需求及支付意愿现状调查及分析[J].中国药房,2025,36(18):2226-2231,6.基金项目
2024年度湖北省省级临床重点(建设)专科项目(No.鄂卫办函[2025]10号) （建设）
湖北省预防医学会"卫生管理创新人才培育行动"科研项目(No.2025SWGKY589) （No.2025SWGKY589）
武汉市卫生健康委中医药科研项目(No.WZ22Q35) （No.WZ22Q35）
