Page 84 - 南京医科大学社科版

南京医科大学学报（社会科学版）京医科大学学报（社会科学版）
南 第4期 总第123期
· 398 · Journal of Nanjing Medical University（Social Sciences）of Nanjing Medical University（Social Sciences） 2024年8月
Journal
技大学学报（社会科学版），2016，30（2）：107-115 中心，中国医学科学院阜外医院，等. 中国高血压健康
［15］郑时彦，王志章. 我国社会保障减缓主观贫困的实证 管理规范（2019）［J］. 中华心血管病杂志，2020，48（1）：
研究——基于倾向得分匹配方法的检验［J］. 西南大学 10-46
学报（社会科学版），2021，47（3）：112-126，221 ［18］张小娟. 山东省农村贫困高血压患者药费补偿政策的
［16］曹娜，李红艳. 基本医疗保险对流动人口的阶层定位 评价研究［D］. 济南：山东大学，2011
效应研究——基于倾向得分匹配的反事实估计［J］. 中 ［19］陈琪. 维护心血管健康，防控心血管疾病［J］. 南京医科
国卫生事业管理，2020，37（1）：27-31 大学学报（社会科学版），2022，22（5）：426-429
［17］国家卫生健康委员会疾病预防控制局，国家心血管病 （本文编辑：姜 鑫）

The impact of free medication on the follow-up effect of hypertension
patients in Tianchang City：An empirical analysis based on propensity
score matching（PSM）

1，2 1，3 1，2 4 5
GE Chengzhi ，XU Jinju ，CHEN Zhichao ，ZHANG Lei ，JIANG Wenjing
1. School of Pharmaceutical Economics and Management，2. Key Laboratory of Data Science and Innovative Development of
Traditional Chinese Medicine，Philosophy and Social Sciences of Anhui Province，Anhui University of Chinese Medicine，Hefei
230012；3. School of Government，East China University of Political Science and Law，Shanghai 201620；4. Tianchang Health
Commission，Tianchang 239300；5. Outpatient Department，The First Affiliated Hospital of Anhui University of Chinese
Medicine，Hefei 230031，China
Abstract：This article used the data of hypertension patient management in Tianchang City and selected
525 cases of permanent residents aged 35 and above who were newly included in the hypertension patient
management in Tianchang City in 2023 as the research objects. The analysis employed propensity score matching
（PSM）to study the impact of free medication on the follow⁃up effect of hypertension patients，thus providing
insights for adjusting the free chronic disease medication distribution policy in Tianchang City. The results
showed that the average treatment effect of free medication on medication adherence，psychological adjustment，
and compliance behavior of hypertensive patients in Tianchang were -0.308，-0.095 and -0.112，respectively，
indicating a significant positive effect. However，the effect on blood pressure control was not significant.
Overall， actively encouraging free medication will be beneficial to promoting the health management of
hypertension patients in Tianchang City. At the same time，relevant departments such as the Tianchang Health
and Welfare Commission should also enhance policy advocacy，optimize the types and distribution methods of
free chronic disease medications，and ensure a stable drug supply，to better implement the free chronic disease
medication distribution policy in Tianchang City.
Key words：free medication；chronic disease；hypertension；follow ⁃ up；hypertension prevention and
treatment；lifestyle intervention；propensity score matching