社区高血压患者抗高血压药物治疗费用的影响因素  

Influential factors of treatment cost of antihypertensive drugs for hypertensive patient in community

作　　者：冯芮华[1,2] 王增武[3] 崔月颖[2] 王馨[3] 王小万[2] 

机构地区：[1]中南大学公共卫生学院社会医学与卫生事业管理学系,长沙410078 [2]中国医学科学院卫生政策与管理研究中心,北京100020 [3]中国医学科学院阜外心血管病医院,国家心血管病中心社区防治部,北京102308

出　　处：《中南大学学报（医学版）》2015年第3期291-297,共7页Journal of Central South University ：Medical Science

基　　金：卫生行业科研专项(200902001)~~

摘　　要：目的:探讨社区高血压患者抗高血压药物治疗费用的影响因素。方法:基于经济发展水平和地理位置,选择15个省220个社区卫生服务中心(站)和卫生院,利用基层高血压规范化管理方案对社区医务人员进行培训。由受培训的基层医务人员对高血压患者实施规范化管理,管理时间为1年。高血压患者的基线和随访资料采用统一设计的调查问卷收集。以22 683名高血压社区规范化管理患者为研究对象,构造多元线性回归模型对抗高血压药物治疗费用的影响因素进行探讨。结果:文化程度、地区分布、医疗保障制度、血压分级、并发症和治疗方案是有统计学意义的自变量。结论:在高血压社区规范化管理中,针对高血压患者的血压水平要提前防控以降低其疾病经济负担,并减少并发症的发生,医生选择治疗方案时还应考虑患者的经济因素。Objective: To explore the influential factors of treatment cost of antihypertensive drugs for hypertensive patient in community.Methods: A total of 220 community health centers(CHCs) from 15 provinces were selected across China in view of geographical location, economic level and previous cooperative experience to implement standardized blood pressure management for hypertensive patients for 1 year, based on guidelines for prevention and control for hypertension in China(2009 Community-based revision). Baseline and follow-up information for each hypertensive patient under the care of these CHCs was collected. A total of 22 683 hypertensive patients in hypertension community standardization management were enrolled in this study. We used multivariate linear regression model to analyze the influential factors of treatment cost of antihypertensive drugs. Results: Cultural degree, regional distribution, medical security system, the blood pressure classification, complications, and treatment options were statistically significant independent variables.Conclusion: In hypertension community standardization management, the blood pressure of hypertensive patients should be controlled in advance to reduce the economic burden,, the occurrence of complications should be reduced, and economic factors should also be considered when selecting a treatment option.

关 键 词：社区 高血压 治疗费用 影响因素 

分 类 号：R544.1[医药卫生—心血管疾病]