对SUS制药服务的不满,以及不遵守药物使用规则
Poliana Vieira da Silva Menolli1, Edmarlon Girotto2
1Universidade Estadual do Oeste do Paraná. Centro de Ciências Médicas e Farmacêuticas. Programa de Pós-Graduação em Ciências Farmacêuticas. Cascavel, PR, Brazil.
Revista de saude publica
|December 3, 2025
概括
患者对巴西统一卫生系统 (SUS) 制药服务的不满,增加了不服药. 这包括及时性和适应性问题,影响慢性疾病管理.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 制药政策 制药政策
- 公共卫生 公共卫生
背景情况:
- 药物不服药是管理慢性非传染性疾病 (NCD) 的一个重大挑战.
- 患者对医疗保健服务的满意度可以影响健康行为,包括药物坚持.
- 巴西统一卫生系统 (SUS) 为大量患有非传染性疾病的人群提供药品服务.
研究的目的:
- 调查用户对SUS制药服务的不满和药物不服药之间的关系.
- 确定与高血压,糖尿病和脂质不良症患者的不服药率增加相关的制药服务的特定维度.
主要方法:
- 一项横截面研究分析了来自2,448名18岁以上非传染性疾病的SUS用户的数据.
- 药物不服药是通过缺乏药物,过去7天的使用和声明不服药来衡量的.
- 对制药服务维度 (及时性,可用性,适应性) 的不满被使用项目响应理论评估.
主要成果:
- 整体不服药率为31.6% (缺乏药物),11.5% (过去7天),13.0% (声明).
- 对服务及时性的不满与过去7天不遵守相关 (OR=1.489).
- 对于服务适应性的不满,与宣称不服从有很强的相关性 (OR=3.132).
结论:
- 跨制药服务维度的用户不满与更高的药物不服药有关.
- 改善服务可用性和适应性对于提高SUS用户的药物坚持至关重要.
- 解决患者不满是改善慢性疾病管理的关键.
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