浙江省麻风受累者疾病负担及卫生服务利用研究  

Burden of disease of leprosy involved patients in Zhejiang province and its health service utilization

作　　者：谭又吉[1] 潘美儿[1] 归婵娟[1] 

机构地区：[1]浙江省皮肤病防治研究所,浙江省德清县313200

出　　处：《中华全科医学》2014年第8期1322-1324,共3页Chinese Journal of General Practice

基　　金：中国-荷兰麻风病防治合作卫生系统研究项目(HSR-2009-02)

摘　　要：目的了解浙江省麻风受累者疾病负担及卫生服务利用情况,为今后采取相应的防治策略提供依据。方法采用自行研制的麻风病人疾病负担及卫生服务利用情况调查表,由麻风防治人员对158例麻风受累者进行面对面调查。结果 37例麻风现症患者中有15例患者出现过麻风反应等并发症。37例现症患者的疾病诊断经济负担情况:直接、间接经济负担平均为(3229.5±149.7)元、(556.4±69.8)元;15例患者治疗并发症(麻风反应)所花费的直接、间接经济负担为(1983.9±159.9)元、(267.4±42.7)元。卫生服务利用方面:158例麻风受累者中还存在一部分麻风受累者享受不到较好的卫生资源,或是无钱66人(41.77%)或是因歧视36人(22.79%)不看病现象,甚或是看病不方便;医疗康复方面仅有97人(61.39%)满意当前的医疗康复服务。结论在麻风低流行状态下,麻风患者在诊疗过程中要承担较重的经济负担,应合理分配卫生资源,提高医务人员的麻风诊断水平的同时,加大各种医疗保险的覆盖和报销力度,以降低麻风受累者的经济负担,从而提高麻风受累者的生活质量。Objective To investigate the burden of disease of leprosy involved patients in zhejiang province and its health service utilization, and provide the basis of develop strategies for leprosy prevention. Methods Investigate 158 leprosy in- volved patients face-to-face by self-designed questionnaire on burden of disease and health service utilization. The survey was made by the leprosy control workers. Results 15 among 37 leprosy patients had appeared complications such as lep- rosy reaction. Economic burden with 37 leprosy patients for disease diagnosis：the average economic burden of direct and indirect was （3229.5 -＋ 149.7） yuan and （556.4 ＋ 69.8 ） yuan ; 15 patients cost of direct and indirect was （ 1983.9 ＋ 159.9） yuan and （267.4 _＋ 42.7 ）yuan for treatment complication （ Leprosy reaction）. There were a number of leprosy in- volvement didn＇ t enjoy better health resources among 158 leprosy involved patients . And not to see the docotors becouse of 66 cases （41.77%） had no money or 36 cases （22.79%） for discrimination phenomenon;And satisfied with the cur- rent medical and rehabilitation services has only 97（61.39% ）. Conclusion As leprosy prevalence kept very low state, the leprosy patients were needed to bear the heavy economic burden in the process of diagnosis and treatment. It should be rational allocation of health resources and improve diagnosis level of the medical staff, and increase the Coverage and reimbursement with all kind of medical insurance to reduce the financial burden and improve the quality of life with leprosy involved patients.

关 键 词：麻风 疾病负担 卫生服务利用 

分 类 号：R755.01[医药卫生—皮肤病学与性病学]