Constantino Portela Maria da Conceição, Campos Fernandes Adalberto
Universidade Católica Portuguesa, Palma de Cima, Lisboa, Portugal.
Universidade Nova de Lisboa, Lisboa, Portugal.
Health Serv Res Manag Epidemiol. 2015 Aug 27;2:2333392815601972. doi: 10.1177/2333392815601972. eCollection 2015 Jan-Dec.
During a severe financial crisis, it is a priority to use scientific evidence to identify factors that enable therapeutic compliance by patients. This study aimed to evaluate a possible association between the number of patients who attended a medical appointment and had medicine prescribed and the number of these same patients who purchased the prescribed medicine and whether the level of reimbursement was a deciding factor. We perform a correlation analysis at primary care centers in Portugal, between 2010 and 2012 (n = 96). We found a moderate to high positive association, which is statistical significant, between the number of the patients with medicines dispensing and medicines reimbursement levels. The correlation coefficient varies from .5 to .63 ( < .01). The compliance increases along with the increase in the reimbursement levels.
在严重的金融危机期间，利用科学证据确定促使患者坚持治疗的因素是当务之急。本研究旨在评估就诊并开具了药物处方的患者数量与购买了所开药物的同一批患者数量之间是否可能存在关联，以及报销水平是否为决定性因素。我们于2010年至2012年期间在葡萄牙的初级保健中心进行了一项相关性分析（n = 96）。我们发现，配药患者数量与药物报销水平之间存在中度至高度的正相关，且具有统计学意义。相关系数在0.5至0.63之间（P < 0.01）。依从性随着报销水平的提高而增加。
