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Abstract：
Background: Nowadays, mental health problems have become a major concern affecting economic and social development, with severe mental health disorders being the top priority. In 2013, Beijing began to implement the Community Free-Medication Service policy (CFMS). This article aims to evaluate the effect of the policy on medication adherence. Methods: In this study, multi-stage sampling was used to select representative patients as samples. Some of the baseline data were obtained by consulting the archives, and information about patient medication adherence measured by Brooks Medication Adherence Scale was obtained through face-to-face interviews. Logistic regression was used to examine the impact of the policy. Results: Policy participation had a significant positive impact on medication adherence (OR = 1.557). The effect of policy participation on medication adherence in the Medication-only mode and Subsidy-only mode were highly significant, but it was not significant in the Mixed mode. Conclusion: This study found that the CFMS in Beijing as an intervention is effective in improving the medication adherence of community patients. However, the impact of the policy is not consistent among service modes. Reinforcement magnitude and frequency should be considered when designing reinforcement interventions.
摘要：
背景：如今，心理健康问题已成为影响经济和社会发展的主要问题，严重的精神健康障碍是重中之重。2013年，北京开始实施社区免费用药服务政策（CFMS）。本文旨在评估该政策对服药依从性的影响。方法:在本研究中,采用多阶段抽样方法选择有代表性的患者作为样本.一些基线数据是通过查阅档案馆获得的，通过面对面访谈获得了通过Brooks药物依从性量表测量的患者药物依从性信息。Logistic回归用于检验政策的影响。结果:政策参与对服药依从性有显著的正向影响(OR=1.557)。仅用药模式和仅补贴模式下政策参与对用药依从性的影响均极显著,但在混合模式下并不重要。结论:本研究发现,北京市CFMS作为干预措施,可有效提高社区患者的用药依从性。然而,该政策的影响在不同的服务模式中并不一致。设计加固干预措施时应考虑加固幅度和频率。
