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免费用药对2型糖尿病患者随访效果的影响——基于倾向得分匹配(PSM)的实证研究

Effect of free medication on the follow-up effect of patients with type 2 diabetes mellitus in Tianchang City:An empirical study based on propensity score matching(PSM)
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摘要 利用安徽省天长市2023年2型糖尿病患者管理数据,选取2023年第一季度新纳入2型糖尿病患者管理的519例35岁及以上患者作为研究对象,使用倾向得分匹配法研究免费用药对2型糖尿病患者随访效果的影响。结果发现,免费用药对天长市2型糖尿病患者血糖控制情况、服药依从性、心理调整和遵医行为的处理组平均处理效应(ATT)分别为0.064、-0.338、-0.293和-0.358,存在积极作用且效应具有显著性。总体而言,免费用药在一定程度上能够对提升天长市2型糖尿病患者的服药依从性,改善天长市2型糖尿病患者的心理调整和遵医行为起到积极的促进作用。 Based on the management data of patients with type 2 diabetes in Tianchang City in 2023,this study selected 519 patients aged 35 and above who were newly included in the management of patients with type 2 diabetes in Tianchang City in the first quarter of 2023 as research subjects,and used propensity score matching to study the effect of free medication on the follow-up effect of patients with type 2 diabetes.The results showed that the average treatment effect of free medication on glycemic control,medication compliance,psychological adjustment,and medical compliance in patients with type 2 diabetes mellitus in Tianchang City were 0.064,-0.338,-0.293 and-0.358,respectively,with positive effects and significant effects.Overall,actively encouraging free medication can help promote the health management of patients with type 2 diabetes in Tianchang City.In a certain extent,free medication can play a positive role in improving the medication compliance of these patients with type 2 diabetes in Tianchang City,as well as in improving their psychological adjustment and medical compliance behavior.
作者 陈志超 徐金菊 葛成志 张磊 蒋文晶 CHEN Zhichao;XU Jinju;GE Chengzhi;ZHANG Lei;JIANG Wenjing(School of Pharmaceutical Economics and Management,Philosophy and Social Sciences of Anhui Province,Anhui University of Chinese Medicine,Hefei 230012;Key Laboratory of Data Science and Innovative Development of Traditional Chinese Medicine,Philosophy and Social Sciences of Anhui Province,Anhui University of Chinese Medicine,Hefei 230012;School of Government,East China University of Political Science and Law,Shanghai 201620;Tianchang Health Commission,Tianchang 239300;Outpatient Department,The First Affiliated Hospital of Anhui University of Chinese Medicine,Hefei 230031,China)
出处 《南京医科大学学报(社会科学版)》 2024年第4期399-405,共7页 Journal of Nanjing Medical University(Social Sciences)
基金 安徽省社会科学创新发展研究课题“医防融合背景下慢性病药物免费发放实施效果评价——以天长市为例”(2023CX082) 安徽省高校协同创新项目“安徽中医药数据集成与治理研究”(GXXT-2022-095) 横向课题“天长市免费慢性病药物发放政策效果评价与优化体现研究”(2023HZ028) 安徽省高校哲学社会科学重点研究项目“三级中医医院牵头紧密型城市医联体运行机制及模式研究”(2023AH050703)。
关键词 免费用药 2型糖尿病 随访 生活方式干预 倾向得分匹配 free medication type 2 diabetes follow-up lifestyle intervention propensity score matching
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