我国农村居民过度医疗行为实证分析  

Empirical Analysis on Medical Expenses of Overtreatment Behaviors Among Rural Residents in China

作　　者：李云飞[1] 吕晖[1] 罗五金[1] 项莉[1] 王静[1] 

机构地区：[1]华中科技大学同济医学院医药卫生管理学院,湖北武汉430030

出　　处：《实用预防医学》2012年第8期1272-1274,共3页Practical Preventive Medicine

基　　金：国家自然科学基金青年基金(70903023)

摘　　要：目的对我国农村居民的过度医疗行为及因此产生的医疗费用进行分析,探讨减少过度医疗行为发生的有效措施。方法通过入户调查收集我国农村贫困和非贫困居民过度医疗行为的相关信息并对其进行比较分析。结果有3.5%的农村门诊患者发生过度服务利用,分别有2.1%和5.6%的农村住院患者因自主意愿和医方诱导发生过度服务利用,但贫困和非贫困居民的门诊和住院过度医疗行为及其产生的医疗费用差异均无统计学意义。结论医疗资源的过度利用制约了医疗卫生服务的正常发展,造成了严重的医疗浪费,政府应采取合理措施优化农村居民的医疗保障制度。Objective To analyze the unreasonable situation of medical services in the rural regions, and to explore the ef- fective measures of reducing the behavior of overtreatment. Methods Each family surveyed was served as a team. The rele- vant information of overtreatment behaviors in poverty residents and non- poverty residents was collected, compared and analyzed through household survey. Results The overtreatment behaviors which occurred in rural outpatient services were 3.5 %. 2.1% of the overtreatment behaviors in rural inpatient services were required by residents themselves and 5.6 % of them were required by the inducement of doctors. But no statistically significant difference was found in the outpatient and inpatient services between the poverty residents and non- poverty residents. Conclusions The behaviors of overtreatment have restrained the normal development of medical health services and caused a vast waste d medical resources. The government should take reason- able measures to optimize medical security system of rural residents.

关 键 词：农村居民 过度医疗 医疗费用 

分 类 号：R197.1[医药卫生—卫生事业管理]