目的分析需方使用基本药物的动力与阻力。方法以力场分析法为框架,运用描述性分析、单因素非条件logistic回归模型与专家打分法对相关资料分析与评价。结果需方使用基本药物的阻力总得分(3.62分)高于动力(2.42分),卫生服务供方逐利行为与地方财政投入不到位是关键阻力,其限制作用明显。结论减弱或消除关键阻力源的同时,要及时增加关键动力源,是促进需方使用基本药物的有效途径。
Objective Analyze the driving force and resistance of demand-side use of essential medicine. Methods Adopting descriptive analysis, univariate logistic regression models and expert scoring method for the analysis and evaluation of relevant information based on the framework of the force field analysis. Results The total resistance score of the demand-side use of essential medicine was higher than that of power. The profit-seeking behavior of health care providers and local government financial input were key resistance which played important role in limiting. Conclusion To increase or eliminate key resistance along with timely increase of key power source may effectively encourage the demand-side to use essential medicine.