免费用药对天长市高血压患者随访效果的影响——基于倾向得分匹配(PSM)的实证分析

The impact of free medication on the follow-up effect of hypertension patients in Tianchang City:An empirical analysis based on propensity score matching(PSM)

选取2023年安徽省天长市新纳入高血压患者管理的525例35岁及以上常住居民为研究对象,使用倾向得分匹配(PSM)法研究免费用药对高血压患者随访效果的影响,为天长市免费慢性病药物发放政策调整提供参考。结果发现,免费用药对天长市高血压患者服药依从性、心理调整和遵医行为的平均处理效应分别为-0.308、-0.095和-0.112,存在积极作用且效应具有显著性,而对血压控制的作用并不显著。总体而言,积极鼓励免费用药将有利于促进天长市高血压患者健康管理。同时,天长市卫健委等有关部门还要加强政策宣传、优化免费慢性病药物的种类和发放方式,以及保障药品供应,从而更好地落实免费慢性病药物发放政策。

This article used the data of hypertension patient management in Tianchang City and selected 525 cases of permanent residents aged 35 and above who were newly included in the hypertension patient management in Tianchang City in 2023 as the research objects.The analysis employed propensity score matching(PSM)to study the impact of free medication on the follow-up effect of hypertension patients,thus providing insights for adjusting the free chronic disease medication distribution policy in Tianchang City.The results showed that the average treatment effect of free medication on medication adherence,psychological adjustment,and compliance behavior of hypertensive patients in Tianchang were-0.308,-0.095 and-0.112,respectively,indicating a significant positive effect.However,the effect on blood pressure control was not significant.Overall,actively encouraging free medication will be beneficial to promoting the health management of hypertension patients in Tianchang City.At the same time,relevant departments such as the Tianchang Health and Welfare Commission should also enhance policy advocacy,optimize the types and distribution methods of free chronic disease medications,and ensure a stable drug supply,to better implement the free chronic disease medication distribution policy in Tianchang City.