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)
陈志超 1徐金菊 2葛成志 1张磊 3蒋文晶4
作者信息
- 1. 安徽中医药大学医药经济管理学院,安徽 合肥 230012;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
- 2. 安徽中医药大学医药经济管理学院,安徽 合肥 230012;华东政法大学政府管理学院,上海 201620
- 3. 天长市卫生健康委员会,安徽 天长 239300
- 4. 安徽中医药大学第一附属医院门诊部,安徽 合肥 230031
- 折叠
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.
Abstract
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Key words
free medication/type 2 diabetes/follow-up/lifestyle intervention/propensity score matching引用本文复制引用
出版年
2024