我国城镇高血压患者费用支出及影响因素分析  

Analysis of the Cost and Influence Factors Urban Hypertensive Patients in China

作　　者：熊巨洋[1] 陈可君[1] 熊先军 严宵 姚岚[1] 

机构地区：[1]华中科技大学同济医学院,武汉430030 [2]中国医疗保险协会,北京100007

出　　处：《中国卫生经济》2010年第10期81-83,共3页Chinese Health Economics

基　　金：2009年中国医疗保险协会慢病研究重点项目城市社区高血压患者就医行为与支付方式研究项目(31516001)

摘　　要：目的:通过评估3个大型城市的6个社区卫生服务中心,1 788名高血压患者费用支出情况,分析城镇高血压患者费用支出的影响因素。方法:运用描述性分析、方差分析和χ2检验对收集到的资料进行分析。结果:三地高血压患者就诊人次数和医疗费用支出数有明显的差异;药费占平均医药费用的88.8%,构成了医药费用的绝大部分;北京地区和南京地区调查对象住院费用医保平均报销比例达到65.5%,能够在一定程度上满足高血压患者的需要。结论:需要进一步完善慢病医保政策,减轻高血压患者经济负担;建立双向转诊制度,提高社区卫生服务中心的服务质量;规范高血压药品使用;加强高血压病防治的宣传教育。Objectives： Through the evaluation of 6 community health centers involving in three advanced large cities and the expenditure of 1 788 hypertensive patients,analysis of urban patients with hypertension factors affecting expenses was done.Methods： The gathered data was analyzed by Descriptive statistics,ANOVA and Chi-square test.Results： The number of patients with hyperten-sion and health care expenses are significant different in three areas.Drugs cost accounted for 88.8% of the average cost of medicines,constituting the vast majority of medical costs.The average medicare reimbursement of hospitalization expenses ratio is 65.5% in Beijing and Nanjing.To a certain extent,it can meet the needs of patients with hypertension.Conclusion： It is necessary to further improve chronic disease health insurance policies to reduce the financial burden of patients with hypertension,to establish two-way transfer of patient system to improve the quality of community health service center,to regulate the use of hypertension drugs,and to strengthen publicity and education of hypertension.

关 键 词：高血压 门诊费用 信息费用 

分 类 号：R197.1[医药卫生—卫生事业管理]