医院慢性丙型肝炎患者对丙型肝炎认知情况和医疗负担调查分析  

The awareness of knowledge and medical burden of hepatitis C on patients with chronic hepatitis C in hospital

作　　者：李杨[1] 褚亮[1] 田聪[1] LI Yang, CHU Liang, TIAN Cong(Health Service Section, the Second Affiliated Hospital of Bengbu Medical College, Bengbu, Anhui 233000, Chin)

机构地区：[1]蚌埠医学院第二附属医院医务科,安徽蚌埠233000

出　　处：《中华全科医学》2018年第4期573-575,579,共4页Chinese Journal of General Practice

基　　金：安徽省高校自然科学研究重点项目(KJ2016A489)

摘　　要：目的了解医院慢性丙型肝炎(简称"丙肝")患者对丙型肝炎知识的知晓情况及就医负担。方法 2016年7—10月在北京、河南、吉林、辽宁四个省的4家综合医院中选取在治的慢性丙肝患者进行问卷调查,内容包括研究对象的一般人口学特征、丙肝知识知晓情况、丙肝医疗负担。结果共调查慢性丙肝患者359人,其中男性171人(47.6%),女性188人(52.4%),平均年龄(55.1±11.9)岁,有关丙肝问题全部回答正确仅占7.5%,11.1%对丙肝知识完全不知晓;对其中5个有关丙肝感染途径问题全部回答正确者占17.8%。不同地区、性别、年龄、文化程度和民族的慢性丙肝患者丙肝知识回答正确率不同,且差异有统计学意义,而婚姻状况、职业、家庭人均月收入之间的差异没有统计学意义。调查对象中186人(51.8%)参加了城镇医保,126人(35.1%)参加了新农合。丙肝人均年治疗总花费3万元以上176人,占49.0%。不同地区和医保类型的慢性丙肝患者人均年治疗花费差异具有统计学意义。进行丙肝治疗后症状没有改善120人(33.4%),一般165人(46.0%),明显62人(17.3%),痊愈仅有12人(3.3%)。结论医院慢性丙肝患者对丙肝知识的了解程度较低,应该加强丙肝防治宣传;经济水平落后地区的患者用于丙肝治疗的费用较少,新农合患者报销比例低,治疗费用却较高,应加大对农民等收入不高人群的扶持,可能有助于降低丙肝医疗负担。Objective To find out the awareness of knowledge and medical burden of hepatitis C on patients with chronic hepatitis C in hospital. Methods Patients with chronic hepatitis C from 4 hospitals in Beijing, Henan, Jilin and Liaon- ing province were surveyed by questionnaires, from July to October 2016, to investigate their demographic characteristics, awareness of hepatitis C, as well as medical burdens of hepatitis C. Results A total of 359 cases, including 171 males （47.6%） , and 188 females （52.4%） , were under investigation, with the average age of （55.1 ± 11.9） years. Among them, only 7.5 % correctly answered all questions, 11.1% did not know anything about hepatitis C knowledge, and only 17.8% of the participants answered correctly to all five questions about transmission route of hepatitis C. The correct rate of hepatitis C knowledge in different regions, sex, age, educational level and national chronic hepatitis C patients was dif- ferent, and the difference was statistically significant, but the difference between marital status, occupation and family per capita monthly income was not statistically significant. And 186 （51.8%） participated in the town health insurance and 126（35.1% ） participated in the new rural cooperative medical system. For 176（49.0% ）, the total cost of hepatitis C treatment was more than 30 000 yuan. There were significant differences in the total cost of treatment in different areas and different types of medical insurance. The treatment effect of hepatitis C has no improvement in 120（33.4% ） , general improvement in 165 （46.0%）, obvious improvement in 62 （ 17.3% ）, and only 12 （3.3%） recovery. Conclusion The patients of hepatitis C were barely aware of knowledge of hepatitis C. More efforts for hepatitis C education are wan- ted. There is less cost for treatment in economically disadvantaged areas. New rural cooperative patients with low propor- tion of hepatitis C reimbursement, and the cost of treatment is high. We should increase the suppo

关 键 词：丙型肝炎 患者认知 医疗负担 

分 类 号：R512.63[医药卫生—内科学]