药品集中带量采购政策背景下慢性病患者药品福利感知的变化及对其健康水平的影响研究  

Changes of the Perception of Drug Welfare of Chronic Disease Patients and Their Impact on Health Level under the Centralized Drug Procurement Policy

作　　者：焦慧霖 汤少梁 毛晓艳 徐靖宇 姚星 Jiao Huilin;Tang Shaoliang;Mao Xiaoyan(School of Health Economics and Management,Nanjing University of Chinese Medicine,Nanjing,Jiangsu,210023,China;不详)

机构地区：[1]南京中医药大学卫生经济管理学院,江苏南京210023

出　　处：《中国卫生经济》2025年第3期30-36,共7页Chinese Health Economics

基　　金：国家自然科学基金项目(72074125)。

摘　　要：目的:研究药品集中带量采购政策背景下慢性病患者药品福利感知的变化以及药品福利感知对其健康水平的影响。方法:对药品集中带量采购政策实施后慢性病患者的药品福利感知和健康状况进行问卷调查与实证分析;建立有序logit回归模型,探究药品福利感知对慢性病患者健康水平的影响及影响因素,针对地域、人群和慢性病种类进行异质性分析。结果:药品集中带量采购政策实施后,慢性病患者的药品福利感知明显提升,包括药品负担减轻、药品价格下降以及药品可及性提升;慢性病患者的健康状况受药品可负担性感知的影响明显,该政策有效改善了慢性病患者的健康水平,但仍存在不公平现象。结论:药品集中带量采购政策实施效果显著,应加强政策宣传,优化采购策略,进一步提高慢性病患者药品福利,改善其健康水平。Objective:To study the changes of the perception of drug welfare of chronic disease patients and their impact on health level under the centralized drug procurement policy.Methods:It conducted a questionnaire survey and empirical analysis on the perception of drug welfare and health status of chronic disease patients after the implementation of the centralized drug procurement policy;set up an ordered logit regression model to investigate the impact of the perception of drug welfare on the health level of chronic disease patients and influencing factors,and analyzed the heterogeneity for geographic areas,populations and chronic disease types.Results:After the implementation of the centralized drug procurement policy,the perception of drug welfare of chronic disease patients was significantly improved,including the reduction of drug burden,the decrease of drug price and the increase of drug accessibility.Moreover,the health status of chronic disease patients is significantly affected by the perceived drug affordability,and the policy has greatly improved the health of this group,but there is still inequality.Conclusion:The implementation of the centralized drug procurement policy has been effective,the state should strengthen the policy propaganda,optimize the procurement strategy,so as to further enhance the drug welfare of chronic disease patients and improve their health.

关 键 词：药品集中带量采购 慢性病患者 药品福利感知 健康水平 

分 类 号：R1-9[医药卫生—公共卫生与预防医学] R19-0