| 引用本文：刘薇, 武锋, 苏日古嘎, 段传杰, 张小雪.门诊患者购药行为及其影响因素——以北京、郑州、广州市为例[J].中国卫生政策研究,2015,8(10):46-50 |
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| 门诊患者购药行为及其影响因素——以北京、郑州、广州市为例 |
| 投稿时间：2015-04-27 修订日期：2015-10-18 PDF全文浏览 HTML全文浏览 |
| 刘薇, 武锋, 苏日古嘎, 段传杰, 张小雪 |
| 北京中医药大学管理学院 北京 100029 |
| 摘要:目的:了解北京、郑州、广州三个城市医院门诊患者购药行为、处方流向及影响因素。方法:采用结构式问卷,分别选取北京、郑州、广州市三级医院、二级医院、社区卫生服务中心各一家,对其患者进行调查,获得有效问卷3 155份,利用SAS9.3软件进行Logistic回归分析。 结果:患者所在地区、就诊医院的级别、患者享有的医保类别、外购的意愿、去药店购药频率等对患者就诊后的购药行为有影响。结论:完善医疗保险对药店的支付制度,规范医院与药店的供货渠道以使医院与药店的品种一致,加强宣传教育以提高患者持方外购意识等措施有助于处方流动,促进医药分开。 |
| 关键词:门诊患者 购药行为 处方流动 |
| 基金项目:教育部人文社科基金(11YJCZH192) |
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| Influencing factors and the drug purchase behaviors of outpatients in Beijing, Zhengzhou and Guangzhou |
| LIU Wei, WU Feng, SURI Gu-ga, DUAN Chuan-jie, ZHANG Xiao-xue |
| School of Management, Beijing University of Chinese Medicine, Beijing 100029, China |
| Abstract:Objective: To understand the drug purchase behaviors and prescription flows of outpatients and their influencing factors. Methods: After selecting and investigating tertiary hospitals, secondary hospitals, community health service centers (one per each level) in Beijing, Zhengzhou, Guangzhou, this paper uses structured questionnaire method to analyze 3,155 valid questionnaires. A logistic regression analysis is performed to understand the factors influencing the drug purchase behaviors. Results: The factors influencing the drug purchase behaviors of outpatients mainly include the region where the patient is, level of the hospital, type of health insurance that the patient has, frequency of drug purchase, etc. Conclusions: This paper suggests hospital administrators to take measures to improve prescription flows, such as reforming the health care insurance to make payment system more suitable for pharmacies standardizing supply channels in order to make varieties consistent between hospitals and pharmacies, strengthening education and publicity to raise the outpatients' awareness for drug purchase outside of hospitals, etc. |
| Key words:Outpatients Drug purchase behaviors Prescription flows |
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