社区卫生服务中心高血压患者对长处方政策实施的看法及相关影响因素研究

Agreement on refilled prescription policy and its influencing factors in patients diagnosed with hypertension in health service center

目的:了解北京市顺义区后沙峪空港社区卫生服务中心(以下简称我中心)高血压患者对实施长处方政策的看法及相关影响因素。方法:采用整群抽样方法,对2018年5—8月在我中心门诊就诊所有高血压患者进行问卷调查。分析患者对长处方政策看法,并应用Logistic回归探讨其相关影响因素。结果:回收有效问卷1487份,高血压患者希望每次长处方开药量为(3.67±1.88)个月。单因素分析显示年龄、职业、医保、文化程度、居住情况、高血压年限、病情是否稳定、长处方知晓情况、合并疾病、出差情况、是否签约家医、取药是否方便与长处方相关(P<0.05)。多因素Logistic回归分析显示血压稳定、出差频繁程度、是否签约家庭医师、取药花费时间对长处方政策支持率的影响有统计学意义(P<0.05)。结论:80%的高血压患者支持长处方政策,其中病情稳定、频繁出差、取药不方便人群对长处方政策有较高需求。

Objective To reveal the agreement on refilled prescription policy and its influencing factors in patients diagnosed with hypertension in Houshayu Airport Health Service Center of Shunyi District,Beijing(hereinafter referred to as our center). Methods From May 2018 to August 2018,a cluster sampling method was used to conduct a questionnaire survey on patients diagnosed with hypertension in outpatient service of our center.Then patients′ views on refilled prescription policy was analyzed,and logistic regression analysis was used to explore its influencing factors.Results Totally 1487 questionnaires were collected.The expected amount of refilled medicine prescription for hypertension patients was (3.67±1.88) months.The univariate analysis showed that,age,job,category of medical insurance,education level,living partner,years of hypertension,the status of hypertension control,the awareness of refilled prescription policy,the combined diseases,travel frequency,whether or not signed up with a family doctor,whether or not it is convenient to get the medicine were related with refilled prescription policy(P<0.05). In logistic multivariate regression analysis,the status of hypertension control,travel frequency,whether or not signed up with a family doctor,and time spent on taking medicine was significantly related to refilled prescription policy(P<0.05). Conclusion About 80% of the hypertension patients supported the refilled prescription policy.Among them,patients whose blood tension were well-controlled,who travelled frequently,and for whom to get medicine was inconvenient tended to have a larger demand for refilled prescription policy.