北京市门诊高血压患者医疗保险模式对血压控制的影响研究  

Blood Pressure Control in Beijing Hypertensive Patients with Different Medical Insurance

作　　者：郭翔宇[1] 刘军[2] 李红娟[2] 秦兰萍[2] 赵冬[2] 

机构地区：[1]首都医科大学药学院,北京100069 [2]首都医科大学附属北京安贞医院流行病研究室

出　　处：《数理医药学杂志》2013年第4期395-397,共3页Journal of Mathematical Medicine

摘　　要：目的:探讨不同医疗保险模式下高血压患者之间血压控制现况的差距。方法:对北京9家医院门诊高血压患者进行了横断面调查,应用单因素与多因素Logistic分析比较了不同医疗保险模式下高血压患者之间血压水平和达标情况。结果:公费医疗、职工基本医疗保险高血压患者的血压控制情况较好,无保险以及新农合患者的血压控制情况较差。结论:医疗保险模式是影响高血压患者血压达标的独立因素。适当提高"弱势群体"患者的医疗保险门诊补偿水平,将有助于控制全社会高血压患者血压的总体水平,这对预防心血管事件的发生与发展有积极的意义。Objectives： To compare the blood pressure control in out-patients under the different medical insurance. Methods： 1046 hypertension patients who had complete data from 9 hospitals were recruited in Beijing. The differences of the control of hypertension were analyzed between types of medical insurance, u- sing the univariate and multivariate logistic regression methods. Results： Hypertension out-patients with Government medical care and Urban Employees Basic Medical Insurance had better condition in blood pres- sure, but patients with no insurance and Urban Residents Basic Medical Insurance had poorly controlled in blood pressure. Conclusion： Medical insurance were associated with the control rate of hypertension. We should improve medical insurance level actively, hypertensive patients. contributing to develop the control rate of blood pressure in

关 键 词：高血压 医疗保险 血压控制 

分 类 号：R195[医药卫生—卫生统计学]