Analysis of Influential Factors on Chronic Disease Patients' Willingness to Participate in Home Pharmaceutical Care Based on Null Importance
10.3870/j.issn.1004-0781.2025.08.024
- VernacularTitle:基于Null Importance分析慢病人群接受居家药学服务意愿的影响因素
- Author:
Ke ZHAO
1
;
Hongxin YANG
;
Mingfen WU
;
Hao GUO
;
Zhigang ZHAO
Author Information
1. 内蒙古自治区人民医院药学处,呼和浩特 010017
- Publication Type:Journal Article
- Keywords:
Null Importance;
Home pharmaceutical care;
Willingness;
Chronic disease
- From:
Herald of Medicine
2025;44(8):1347-1351
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the key factors influencing the willingness of chronic disease patients to participate in home pharmaceutical services.Methods The study adopted the data from inner Mongolia and northeast China set of the drug aging system research for China.The Null Importance method was employed to identify key factors influencing the willingness of chronic disease patients to participate in home pharmaceutical services.The logistic regression model was constructed and evaluated the impact of feature selection through 5 fold cross-validation and accuracy and AUC values.Results 10 key factors were selected by the Null Importance method and the performance of the logistic regression model was improved after feature selection.The factors which significantly affected patients' willingness to accept home pharmaceutical services included the number of accessible information sources(OR=1.261,95％CI=1.182～1.345),medication therapeutic indication cognition(OR=1.342,95％CI=1.124～1.603),the presence the drug packaging or not(OR=1.218,95％CI=1.015～1.462),medication adherence(OR=0.881,95％CI=0.839～0.925),medication literacy(OR=0.631,95％CI=0.488～0.817),the degree of know of medication guidance services(OR=1.211,95％CI=1.017～1.442).Conclusion The logistic model refined by the Null Importance feature selection method demonstrated good performance and was conducive to analyzing the factors influencing the willingness of chronic disease patients to participate in home pharmaceutical care.
