基于离散选择模型的我国内分泌科医师胰岛素注射笔处方偏好调研  

Investigation and Research of Endocrinologists' Prescription Preferences of Insulin Injection Pen in China Based on Discrete Choice Experiment

作　　者：马莉莉[1] 韩晟[1,2] 管晓东[1] 史录文[1,2] 李文胜[1] 

机构地区：[1]北京大学药学院,北京100191 [2]北京大学医药管理国际研究中心,北京100191

出　　处：《中国药房》2016年第36期5055-5058,共4页China Pharmacy

摘　　要：目的:探讨我国内分泌科医师对不同属性胰岛素注射笔的处方偏好,为糖尿病管理和相关人员决策提供依据。方法:基于离散选择模型设计问卷,对深圳、苏州、广州、无锡、天津、北京、上海、武汉、沈阳、济南、昆明、重庆12个城市共44名内分泌科医师进行调查,结合调查数据应用Logistic回归分析方法分析胰岛素注射笔的5种属性对其处方偏好的影响。结果:共发放问卷44份,回收有效问卷35份,有效回收率为79.55%。胰岛素注射笔的5种属性中,操作简易性的比值比(OR)为10.649(P<0.001);使用便捷性的OR为6.284(P<0.001);价格的OR为0.991(P<0.001);记忆功能(P=0.216)和外观设计(P=0.184)结果不显著。结论:内分泌科医师更偏好处方操作简单、使用方便、价格低的胰岛素注射笔,而记忆功能和外观设计不影响其处方偏好。OBJECTIVE： To explore the endocrinologists＇ prescription preferences for various attributes of insulin injection pens, and provide basis for diabetes management and related personnel decision-making. METHODS： Based on discrete choice experiment, 44 endocrinologists from Shenzhen, Suzhou, Guangzhou, Wuxi, Tianjin, Beijing, Shanghai, Wuhan, Shenyang, Jinan, Kunming and Chongqing were investigated, Logistic regression analysis was combined with investigation data to analyze the effects of 5 attributes of insulin injection pens on the prescription preferences. RESULTS ： Totally 44 questionnaires were sent out, 35 were effectively received with effectively recovery of 79.55%. In the 5 attributes of insulin injection pens, odds ratio （OR） of easy to use was 10.649 （P〈0.001）; OR of convenient to use was 6.284 （P〈0.001） ; OR of price was 0.991 （P〈0.001） ; the results of memory function （P〈0.216） and design （P〈0.184） weren＇t significant. CONCLUSIONS： Endocrinologists＇ ideal insulin injection pen would be easy to use, convenient to use and has the lowest cost, while regardless of the design and memory function. KEYWORBS Endocrinologists; Insulin injection pen; Prescription preference; Discrete choice model; Attribute; Investigation

关 键 词：内分泌科医师 胰岛素注射笔 处方偏好 离散选择模型 属性 调查 

分 类 号：R95[医药卫生—药学] R195