关键词: font-size:medium, ">带量采购；患者满意度；影响因素

Abstract: Objective：To evaluate the effect of volume-based drug procurement from the perspective of patient satisfaction， analyze the influence factors and propose relevant suggestions. Methods： A questionnaire survey was conducted among hypertensive patients from a community medical institution in Shanghai to analyze the effects of population characteristics， the satisfaction of drug price， drug replacement after the implementation of the policy， and the use of bid-winning drugs on patients′ satisfaction with volume-based drug procurement. Results：The overall satisfaction score of the patients with volume-based drug procurement policy was 3.64， and the satisfaction rate was 72.89%. The satisfaction with the policy was related to the patients′ income， understanding of the policy， recognition of the importance of understanding policy， the decline of average outpatient expenses， the willingness to change medications and other factors. The higher the income(OR=1.45， 95% CI：1.03-2.06)， the more willing to accept drug replacement(OR=1.99， 95% CI：1.06-3.75)， the more satisfied with the price of the selected similar drugs(OR=2.00， 95% CI：1.13-3.54)， the more satisfied with the effect of the policy alleviating high expense in medical care(OR=2.57， 95% CI：1.49-4.43)， and the more satisfied with the policy publicity(OR=15.46， 95% CI：8.68-27.52)， the patients are more likely to be satisfied with the policy effect of volume-based drug procurement. Conclusion： In order to improve the effect of volume-based drug procurement policy， relevant departments should make more efforts to improve patients′ confidence in the selected drugs， reduce the price of similar drugs that have not won the bid， expand the coverage of volume-based procurement drugs， and control the cost of medical examinations.

Key words: font-size:medium, ">Volume-based procurement； Patient satisfaction； Influence factors