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)

作　　者：葛成志 徐金菊 陈志超 张磊 蒋文晶[5] GE Chengzhi;XU Jinju;CHEN Zhichao;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)

机构地区：[1]安徽中医药大学医药经济管理学院,安徽合肥230012 [2]安徽中医药大学数据科学与中医药创新发展安徽省哲学社会科学重点实验室,安徽合肥230012 [3]华东政法大学政府管理学院,上海201620 [4]天长市卫生健康委员会,安徽天长239300 [5]安徽中医药大学第一附属医院门诊部,安徽合肥230031

出　　处：《南京医科大学学报（社会科学版）》2024年第4期392-398,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);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);横向课题“天长市免费慢性病药物发放政策效果评价与体系优化研究”(2023HZ028)。

摘　　要：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.

关 键 词：免费用药 慢性病 高血压 随访 高血压防治 生活方式干预 倾向得分匹配 

分 类 号：R544.1[医药卫生—心血管疾病]