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 |
Physicians, CVBP, KAP, Influencing Factors
| [1] | 强滟, 王孝勇, 宋燕. 基于文献分析的我国药品集中带量采购政策落地问题研究 [J]. 中国医药工业杂志, 2025, 56(08): 1097-1102. |
| [2] | 李天成, 王博飞, 贯一轩, 等. 集采政策下仿制药的成效与挑战 [J]. 药学前沿, 2025, 29(06): 1073-1080. |
| [3] | Zhao M, Zhang L, Feng Z, et al. Physicians' Knowledge, Attitude and Practice of Generic Substitution in China: A Cross-Sectional Online Survey [J]. International journal of environmental research and public health, 2021, 18(15): 7749. |
| [4] | Huang Y, Lee P, Hsieh S, et al. Understanding factors influencing adoption of air pollution protective measures using the knowledge-attitude-behavior model [J]. Scientific reports, 2024, 14(1): 28414. |
| [5] | Alghasham A A. Generic drug prescribing in central Saudi Arabia: perceptions and attitudes of physicians [J]. Annals of Saudi medicine, 2009, 29(1): 24-29. |
| [6] | Colgan S, Faasse K, Martin L R, et al. Perceptions of generic medication in the general population, doctors and pharmacists: a systematic review [J]. BMJ open, 2015, 5(12): e8915. |
| [7] | 牛瑞, 巨康璐, 常瑛, 等. 陕西省儿科医生对集中带量采购政策的KAP调查 [J]. 医药导报, 2023, 42(10): 1479-1484. |
| [8] | Fadare J O, Adeoti A O, Desalu O O, et al. The prescribing of generic medicines in Nigeria: knowledge, perceptions and attitudes of physicians [J]. Expert review of pharmacoeconomics & outcomes research, 2016, 16(5): 639-650. |
| [9] | 研究部股市动态分析. 医药集采“里程碑”转向深入挖掘“反内卷”机遇 [J]. 股市动态分析, 2025(09): 6-9. |
| [10] | Wang D, Liu Z, Liu Y, et al. Knowledge, attitudes, and practices among patients with diabetes mellitus and hyperuricemia toward disease self-management [J]. Frontiers in public health, 2024, 12: 1426259. |
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
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
@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}
}
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 -