| Summary: | 碩士 === 高雄醫學大學 === 藥學研究所 === 96 === The purpose of this research is to explore the cognition and attitudes of patients of chronic diseases on refilling card in the hope to understand the factors affecting such patient willingness to have refilling card at national health insurance pharmacies to serve as reference of decisions and publicity of the authorities.
The research adopts decides sampling with targets of patients with chronic diseases having refilling card at medical institutes and national health insurance drugstores. A total of 570 questionnaires were issued from 14 January to 15 February 2008 with 557 valid returned questionnaires. The findings are:
1.Most of the respondents are people over 51 with chronic diseases.
2.Gender of chronic patients with used refilling card not reveals the difference (P-value＞0.05）.
3.Age of chronic patients with used refilling card have reveals the difference (P-value＜0.05）.
4.In cognition, 88.3% respondents are aware of refilling card; 58.9% of them know the usage and 60.5% of them are aware of the purposes.
5.Source of information of refilling card is mainly physicians (45.4%), followed by friends (33.6%) and pharmacists at drugstores. Respondents also have alternative sources of TV (19.9%), newspapers and magazines (12.85%) and radio programs (8.4%).
6.55.5% of respondents are clearly aware of the time saving to have refilling card at national health insurance drugstores and 53.5% of them know that no extra fee is needed to have refills there.
7.In the attitude of usage, identification with having refilling card at national health insurance drugstores helps reduce the medical expenses, patients are entitled to know the medicine they take, the policy by the government of asking people to obtain refilling card at national health insurance drugstores is successful, and national health insurance drugstores can provide medicine prescribed by physicians of those having used is higher than that of respondents that have not used.
8.The top three factors making patients with chronic diseases to have refilling card at national nealth insurance drugstores are time saving,close to the homes and money saving
9.The top three factors preventing patients with chronic diseases from having refilling card at national health insurance drugstores are being used to have refills at hospitals, worrying to have different kinds of medicine and the medicine at the hospitals are safer.
Based on the preceding findings, the research suggests Department of Health keep publicity the advantages and usage of refilling card available at national health insurance drugstores, enhance the percentage and availability of national health insurance drugstores, effectively integrate medical institutes and establish good interaction relation in order to provide patients with convenience of prescription to increase the percentage of patients with chronic diseases to have refilling card at national health insurance drugstores.
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