居民对社会药房用药指导服务的支付意愿及影响因素调查

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中图分类号R95 文献标志码A 文章编号 1001-0408（2025）22-2766-06

DOI 10.6039/j.issn.1001-0408.2025.22.03

ABSTRACTOBJECTIVETo explore the wilingness topay（WTP）of Urumqi residents forcommunitypharmacies’medication guidanceservicesanditsinfluencingfactors，soastoprovidedatasupportfortheoptimizationofcommunitypharmacyservices andtheestablishmentofa fee structure for medication guidanceservices.METHODS A stratified quota sampling method was employedtoselect14communitiesinUrumqiCityFromApril toJune025，acombinedoflineandonlinequestionairesurvey wasconductedamongadultresidentsinthesecommunities.Thecontingentvaluationmethodwasusedtoconstructthree hypotheticalscenarios（namely，basic，enhancedandextended services）of medicationcounselingincommunitypharmaciesto assessresidents’WTPfortheseservices.BinaryLogisticregressonwasemployedtoanalyzetheinfluencingfactorsofWTP. RESULTSAtotalof 576validquestionnaires were obtained.Under the scenariosof basic，enhancedandextendedservices， （204号 38.54% ， 49.65% and 67.19% of the respondents expressed WTP for the services，respectively. Occupational type，type of basic medicalinsurance，annual income，perceptionofpharmacists’profesion，andaceptance leveloftheservicewereidentifiedas major influencing factors for WTP（ ⋅P<0.05 ）.CONCLUsIONS The willingness of residents in Urumqi to pay for medication counselingservices providedbypharmacists incommunitypharmaciessignificantly increaseswiththeenrichmentofservicecontent. Itisrecommendedtoincorporatebasicmedicationcounselingservices providedbypharmacistsincommunitypharmaciesinto medicalinsurancepayment，whilevalue-adedservicessouldbepartiallyorfullyself-paidbyresidents.Aditionally，efforts shouldbemadetostrengthenthepromotionof theprofesionalandservice valueoflicensedpharmacists，soas tofacilitatethe high-quality development of pharmaceutical care.

KEYWORDScommunitypharmacies；wilingness topay；pharmacistssevices；medicationgudance；contingent valuationmethod

自2015年起，为破解“看病贵”的难题，我国开始推行分级诊疗、处方外流等一系列政策。（剩余7355字）