Research Article | | Peer-Reviewed

Analysis of the Implementation Status and Influencing Factors of Centralized Volume-Based Drug Procurement Policy from the Perspective of Physicians

Received: 3 November 2025     Accepted: 17 November 2025     Published: 10 December 2025
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Abstract

Objective: To investigate the current status and influencing factors of physicians' knowledge, attitudes, and practices (KAP) regarding the implementation of the centralized volume-based drug procurement (CVBP) policy in Leshan. Methods: A structured questionnaire based on the KAP theoretical framework was developed. An online cross-sectional survey was conducted using snowball sampling method. Multivariate logistic regression analysis was employed to identify the influencing factors. Results: A total of 251 valid questionnaires were collected. Physicians who had received CVBP training (60.96%) and those with junior professional titles (28.69%) had significantly higher KAP scores (P<0.01). Awareness was highest for “priority use of CVBP drugs and agreed procurement volume” (88.45%) and lowest for the “retained surplus incentive mechanism” (54.98%). While 79.28% of physicians acknowledged the policy’s role in reducing patient financial burden, only 39.04% expressed confidence in the efficacy of CVBP drugs. Although 88.05% reported preferentially prescribing CVBP drugs, only 68.13% proactively counseled patients about them. Multivariate analysis revealed that higher knowledge scores positively influenced both attitudes and prescribing practices (all OR<1, P<0.01), Conversely, concerns about “low price–low quality”, senior professional titles, and higher academic degrees negatively influenced attitudes (all OR>1, P<0.05). Conclusion: The overall KAP level of physicians regarding CVBP policy remains suboptimal. Knowledge is a key driver of favorable attitudes and behaviors. Targeted dissemination of policy information and real-world evidence is recommended to enhance policy effectiveness.

Published in Science Discovery (Volume 13, Issue 6)
DOI 10.11648/j.sd.20251306.13
Page(s) 121-124
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2025. Published by Science Publishing Group

Keywords

Physicians, CVBP, KAP, Influencing Factors

References
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  • APA Style

    Qin, X., Liu, Y., Zheng, Z., Zeng, Z., Li, B. (2025). Analysis of the Implementation Status and Influencing Factors of Centralized Volume-Based Drug Procurement Policy from the Perspective of Physicians. Science Discovery, 13(6), 121-124. https://doi.org/10.11648/j.sd.20251306.13

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    ACS Style

    Qin, X.; Liu, Y.; Zheng, Z.; Zeng, Z.; Li, B. Analysis of the Implementation Status and Influencing Factors of Centralized Volume-Based Drug Procurement Policy from the Perspective of Physicians. Sci. Discov. 2025, 13(6), 121-124. doi: 10.11648/j.sd.20251306.13

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    AMA Style

    Qin X, Liu Y, Zheng Z, Zeng Z, Li B. Analysis of the Implementation Status and Influencing Factors of Centralized Volume-Based Drug Procurement Policy from the Perspective of Physicians. Sci Discov. 2025;13(6):121-124. doi: 10.11648/j.sd.20251306.13

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  • @article{10.11648/j.sd.20251306.13,
      author = {Xiao-mao Qin and Yi-long Liu and Zhuo-ting Zheng and Zhen Zeng and Bin Li},
      title = {Analysis of the Implementation Status and Influencing Factors of Centralized Volume-Based Drug Procurement Policy from the Perspective of Physicians
    },
      journal = {Science Discovery},
      volume = {13},
      number = {6},
      pages = {121-124},
      doi = {10.11648/j.sd.20251306.13},
      url = {https://doi.org/10.11648/j.sd.20251306.13},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.sd.20251306.13},
      abstract = {Objective: To investigate the current status and influencing factors of physicians' knowledge, attitudes, and practices (KAP) regarding the implementation of the centralized volume-based drug procurement (CVBP) policy in Leshan. Methods: A structured questionnaire based on the KAP theoretical framework was developed. An online cross-sectional survey was conducted using snowball sampling method. Multivariate logistic regression analysis was employed to identify the influencing factors. Results: A total of 251 valid questionnaires were collected. Physicians who had received CVBP training (60.96%) and those with junior professional titles (28.69%) had significantly higher KAP scores (P1, P<0.05). Conclusion: The overall KAP level of physicians regarding CVBP policy remains suboptimal. Knowledge is a key driver of favorable attitudes and behaviors. Targeted dissemination of policy information and real-world evidence is recommended to enhance policy effectiveness.
    },
     year = {2025}
    }
    

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  • TY  - JOUR
    T1  - Analysis of the Implementation Status and Influencing Factors of Centralized Volume-Based Drug Procurement Policy from the Perspective of Physicians
    
    AU  - Xiao-mao Qin
    AU  - Yi-long Liu
    AU  - Zhuo-ting Zheng
    AU  - Zhen Zeng
    AU  - Bin Li
    Y1  - 2025/12/10
    PY  - 2025
    N1  - https://doi.org/10.11648/j.sd.20251306.13
    DO  - 10.11648/j.sd.20251306.13
    T2  - Science Discovery
    JF  - Science Discovery
    JO  - Science Discovery
    SP  - 121
    EP  - 124
    PB  - Science Publishing Group
    SN  - 2331-0650
    UR  - https://doi.org/10.11648/j.sd.20251306.13
    AB  - Objective: To investigate the current status and influencing factors of physicians' knowledge, attitudes, and practices (KAP) regarding the implementation of the centralized volume-based drug procurement (CVBP) policy in Leshan. Methods: A structured questionnaire based on the KAP theoretical framework was developed. An online cross-sectional survey was conducted using snowball sampling method. Multivariate logistic regression analysis was employed to identify the influencing factors. Results: A total of 251 valid questionnaires were collected. Physicians who had received CVBP training (60.96%) and those with junior professional titles (28.69%) had significantly higher KAP scores (P1, P<0.05). Conclusion: The overall KAP level of physicians regarding CVBP policy remains suboptimal. Knowledge is a key driver of favorable attitudes and behaviors. Targeted dissemination of policy information and real-world evidence is recommended to enhance policy effectiveness.
    
    VL  - 13
    IS  - 6
    ER  - 

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