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)

作　　者：陈志超 徐金菊 葛成志 张磊 蒋文晶[5] 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)

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)。

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.

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 

分 类 号：R587.1[医药卫生—内分泌]