scholarly journals Influencing Self-Reported Health Among Rural Low-Income Women Through Health Care and Social Service Utilization: A Structural Equation Model

2012 ◽  
Vol 15 (5) ◽  
pp. 417-434 ◽  
Author(s):  
Tiffany Bice-Wigington ◽  
Catherine Huddleston-Casas
Keyword(s):  
Health Care ◽  
Structural Equation Model ◽  
Service Utilization ◽  
Low Income ◽  
Social Service ◽  
Structural Equation ◽  
Equation Model ◽  
Reported Health ◽  
Low Income Women

scholarly journals Influencing factors of physicians’ prescription behavior in selecting essential medicines: a cross-sectional survey in Chinese county hospitals

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Xin Zhou ◽  
Xueting Zhang ◽  
Linsheng Yang ◽  
Xu Hu ◽  
Aizong Shen ◽  
...  
Keyword(s):  
Health Care ◽  
Structural Equation Model ◽  
Influencing Factors ◽  
Structural Equation ◽  
Essential Medicine ◽  
Equation Model ◽  
Essential Medicines ◽  
Actual Behavior ◽  
Cross Sectional ◽  
Factors Affecting

Abstract Background To explore the key factors affecting prescription practices of essential medicines in Chinese county hospital. National essential medicine policy (NEMP) plays important roles in health care system, especially in developing countries. As a fundamental component in the Chinese health system reform, NEMP was implemented in primary health care institutions during the first stage of reform. As it is rolled out, priority usage and zero-mark-up policy of essential medicines are to be applied in every government-run healthcare institution. However, the intention and influence factors of physicians on priority selecting essential medicine remains unclear. Methods Based on the theory of planned behavior, a cross-sectional questionnaire survey was conducted to analyze physicians’ intention, attitude, subjective norms (SNs) and perceived behavioral control (PBC) on prescrictions and their actual behavior on selection of essential medicines. Results Two hundred eighty-two physicians participated in the structural questionnaire interview. The final structural equation model reflected influencing factors affecting physicians’ prescribing behavior (χ2/df = 1.32, GFI = 0.99, IFI = 0.99). Structural equation model analysis showed that attitude, other influencers and institutional environment, and PBC significantly affected behavioral intention. However, the control extent of cognition behavior of physicians prescribing had no significant positive effect on the priority usage of essential medicines. Conclusion Investigation results demonstrate physicians are unaware of NEMP design and implementation plans. To help enhance rational use of essential medicines we suggest educating physicians on the value of NEMP, and integrating the drug shortage report into the essential medicine (EM) bidding system seamless communication with pharmaceutical manufacturers’ credit information system.

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