农村贫困居民慢性病患病现状研究  

RESEARCH ON THE PREVALENCE STATUS OF CHRONIC DISEASE IN THE RURAL POOR RESIDENTS

作　　者：黄宵[1] 顾雪非[2] 王云屏[2] 付晓光[2] 毛正中[1] 李宁秀[1] 

机构地区：[1]四川大学华西公共卫生学院,成都610041 [2]卫生部卫生经济研究所

出　　处：《现代预防医学》2009年第23期4465-4467,共3页Modern Preventive Medicine

摘　　要：[目的]了解农村贫困居民慢性病的患病现状以及新农合、医疗救助对慢性病门诊治疗的费用补偿、救助情况,为将慢性病门诊治疗纳入新农合范围和贫困医疗救助范围或提高补偿、救助比例提供依据。[方法]采用定量研究与定性研究相结合的研究方法,通过问卷调查,对4470位农村居民进行调查,通过文献法,收集相关政策文件,了解补偿、救助现状。[结果]被调查农村贫困居民的慢性病患病率为354.0‰,月门诊费用的中位数为150.0元,最大值为3300.0元,慢性病年门诊治疗费用与人均收入之比的中位数为1.0,最大值为39.7,在调查地区,只有一个区县将慢性病门诊纳入新农合补偿范围和贫困医疗救助范围。[结论]在调查地区的农村贫困居民中,慢性病患病现状不容乐观,慢性病门诊费用负担比较重,但对慢性病门诊治疗费用补偿、救助力度不够,在新农合补偿和贫困医疗救助方案设计时应给予考虑。[Objective] To know the prevalence of chronic disease in the rural poor residents and compensation for the chronically out-patient treatment costs under the New Rural Cooperative Medical Scheme and Medical Assistance, to provide bases for putting the out-patient treatment costs into the scope of compensation or improve the compensative proportion. [Mothods] Both quantitative research and qualitative research were used. Using the questiormaire survey method, 4 470 rural residents were surveyed. Using literature method, relevant policies and documents were gathered. [Results] In the investigation area, the morbidity of chronic disease was 354.0 ‰, the median of out-patient costs of chronic disease per month was 150.0 yuan, the maximum was 3 300.0yuan ; the median of the ratio of out-patient costs per year and per capita income was 1.0, the maximum was 39.7; only one county put the costs in the scope of compensation both in the New Rural Cooperative Medical Scheme and Medical Assistance. [Conclusion] In the investigated areas, the morbidity of rural poor residents due to chronic disease is high, the out-patient costs are expensive; but the compensative proportion is inadequate; the costs should be taken into the scope of compensation.

关 键 词：贫困人口 慢性病 患病率 医疗保障 

分 类 号：R195[医药卫生—卫生统计学]