Study on residents’ willingness to pay for community pharmacies’ medication guidance services and its influencing factors

LI Mingyue; ZHANG Jiangtao; KANG Zhen; GAO Hui; LIAO Wentao; CHENG Lufeng

doi:10.6039/j.issn.1001-0408.2025.22.03

您当前的位置：

首页 >

文章列表页 >

Study on residents’ willingness to pay for community pharmacies’ medication guidance services and its influencing factors

更新时间：2025-11-25

- Study on residents’ willingness to pay for community pharmacies’ medication guidance services and its influencing factors
- ZHONGGUO YAOFANG Vol. 36, Issue 22, Pages: 2766-2771(2025)
- 作者机构：
  
  1.新疆医科大学药学院，乌鲁木齐　830017
  2.中国药科大学基础医学与临床药学学院，南京　211198
- 作者简介：
- 基金信息：
- DOI：10.6039/j.issn.1001-0408.2025.22.03
  CLC： R95
- Received：03 July 2025，
  
  Revised：2025-10-14，
  
  Accepted：15 October 2025，
  
  Published：30 November 2025
- 稿件说明：
移动端阅览
李明月,张江涛,康震,等.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 ^Δ[J].中国药房,2025,36(22):2766-2771.

LI Mingyue,ZHANG Jiangtao,KANG Zhen,et al.Study on residents’ willingness to pay for community pharmacies’ medication guidance services and its influencing factors[J].ZHONGGUO YAOFANG,2025,36(22):2766-2771.
李明月,张江涛,康震,等.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 ^Δ[J].中国药房,2025,36(22):2766-2771. DOI： 10.6039/j.issn.1001-0408.2025.22.03.

LI Mingyue,ZHANG Jiangtao,KANG Zhen,et al.Study on residents’ willingness to pay for community pharmacies’ medication guidance services and its influencing factors[J].ZHONGGUO YAOFANG,2025,36(22):2766-2771. DOI： 10.6039/j.issn.1001-0408.2025.22.03.

摘要

目的

探讨乌鲁木齐市居民对社会药房用药指导服务的支付意愿及影响因素，为社会药房服务优化及用药指导服务收费的设立提供数据支撑。

方法

采用分层配额抽样方法，在乌鲁木齐市抽取14个社区，于2025年4－6月对社区成年居民开展线下和线上相结合的问卷调查。采用条件价值估计法，在问卷中构建3种社会药房用药指导的假设场景（分别为基础型、强化型、延伸型服务场景），调查居民对社会药房用药指导服务的支付意愿；采用二元Logistic回归分析探讨支付意愿的影响因素。

结果

共获取有效问卷576份，在基础型、强化型、延伸型服务场景下，分别有38.54%、49.65%、67.19%的受访者愿意支付服务费。工

作种类、基本医保类型、年收入、对药师职业的认知以及服务的接受程度等是支付意愿的重要影响因素（

＜0.05）。

结论

乌鲁木齐市居民对社会药房用药指导服务的支付意愿随服务内容丰富度显著提升。建议将基础型服务项目纳入医保支付范畴，增值服务可由居民部分自付或全额自付，并加强执业药师职业和服务价值的宣传工作，以促进药学服务的高质量发展。

Abstract

OBJECTIVE

To explore the willingness to pay （WTP） of Urumqi residents for community pharmacies’ medication guidance services and its influencing factors， so as to provide data support for the optimization of community pharmacy services and the establishment of a fee structure for medication guidance services.

METHODS

A stratified quota sampling method was employed to select 14 communities in Urumqi City. From April to June 2025， a combined offline and online questionnaire survey was conducted among adult residents in these communities. The contingent valuation method was used to construct three hypothetical scenarios （namely， basic， enhanced and extended services） of medication counselling in community pharmacies to assess residents’ WTP for these services. Binary Logistic regression was employed to analyze the influencing factors of WTP.

RESULTS

A total of 576 valid questionnaires were obtained. Under the scenarios of basic， enhanced and extended services， 38.54%， 49.65% and 67.19% of the respondents expressed WTP for the services， respectively. Occupational type， type of basic medical insurance， annual income， perception of pharmacists’ profession， and acceptance level of the service were identified as major influencing factors for WTP （

＜0.05）.

CONCLUSIONS

The willingness of residents in Urumqi to pay for medication counseling services provided by pharmacists in community pharmacies significantly increases with the enrichment of service content. It is recommended to incorporate basic medication counselling services provided by pharmacists in community pharmacies into medical insurance payment， while value-added services should be partially or fully self-paid by residents. Additionally， efforts should be made to strengthen the promotion of the professional and service value of licensed pharmacists， so as to facilitate the high-quality development of pharmaceutical care.

关键词

Keywords

references

HU Q Y ， HU H Y ， HU M ， et al . Patient preferences for specialty pharmacy services：a stated preference discrete-choice experiment in China [J ] . Front Public Health ， 2020 ， 8 ： 597389 .

茅颜祺，谢士钰，田侃 . 基于Kano理论的我国社会药房药学服务优化研究 [J ] . 中国药房， 2023 ， 34 （ 2 ）： 133 - 138 .

MURRY L T ， VIYURRI B ， CHAPMAN C G ， et al . Patient preferences and willingness-to-pay for community pharmacy-led Medicare part D consultation services：a discrete choice experiment [J ] . Res Social Adm Pharm ， 2023 ， 19 （ 5 ）： 764 - 772 .

钱晓宏 . 新疆高血压患者治疗偏好及门诊药事服务费支付意愿调查 [D ] . 乌鲁木齐：新疆医科大学， 2021 .

SOODI O ， HESARI E ， HOJJATIFARD R ， et al . Consu-mers’ willingness to pay for pharmacist counselling services and the factors affecting it in community pharmacies [J ] . Iran J Pharm Res ， 2023 ， 22 （ 1 ）： e132736 .

CHARAN J ， BISWAS T . How to calculate sample size for different study designs in medical research? [J ] . Indian J Psychol Med ， 2013 ， 35 （ 2 ）： 121 - 126 .

李瑞帆 . 条件价值评估法在社区卫生服务中的应用研究 [D ] . 武汉：华中科技大学， 2008 .

ANOSIKE C ， ADIBE M O ， ISAH A ， et al . Willingness to pay for pharmacist-provided home telemonitoring among patients with chronic diseases in Enugu Metropolis [J ] . Health Informatics J ， 2020 ， 26 （ 2 ）： 829 - 840 .

JABER D ， ABURUZ S ， HAMMAD E A ， et al . Patients’ attitude and willingness to pay for pharmaceutical care：an international message from a developing country [J ] . Res Social Adm Pharm ， 2019 ， 15 （ 9 ）： 1177 - 1182 .

LAKIĆ D ， STEVIĆ I ， ODALOVIĆ M ， et al . Patients’ willingness to pay for cognitive pharmacist services in community pharmacies [J ] . Croat Med J ， 2017 ， 58 （ 5 ）： 364 - 371 .

王楠，罗梦月，刘艳萍，等 . 天津市三甲医院患者对药学门诊的认知程度与支付意愿调查及影响因素分析 [J ] . 天津药学， 2019 ， 31 （ 3 ）： 39 - 45 .

温瑞睿，许龙，朱文静 . 部分发达国家药师在社区传染病防治方面作用的分析与思考 [J ] . 中国药事， 2022 ， 36 （ 11 ）： 1328 - 1336 .

钟杰，李凤红，黄锡金，等 . 设置药学服务费的内在逻辑与医保支付思路探析 [J ] . 卫生经济研究， 2024 ， 41 （ 6 ）： 53 - 55 .

Views

下载量

CSCD

Alert me when the article has been cited

提交

Tools

Publicity Resources

No data

Related Author

No data

Related Institution

No data

⁰