医疗贫困救助保障下高血压住院患者人群特征与医疗费用特征研究  

Study on the Characteristics of the Population and Medical Expenses of Inpatients with High Blood Pressure under the Security of Medical Poverty Assistance

作　　者：毛燕娜 丘佳琪 游茂 刘荣梅 MAO Yan-na;QIU Jia-qi;YOU Mao(School of Health Management,Southern Medical University,Guangzhou,510515,China;不详)

机构地区：[1]南方医科大学卫生管理学院,广州510515 [2]武汉大学公共卫生学院,武汉430071 [3]国家卫生健康委卫生发展研究中心,北京100083 [4]阜外华中心血管医院,郑州451000

出　　处：《中国卫生经济》2022年第4期24-29,共6页Chinese Health Economics

基　　金：国家重点研发计划数字诊疗装备研发重点专项(2018YFC0114500);河南省医学科技攻关计划联合共建项目(LHGJ20190807)。

摘　　要：目的:通过分析样本县在贫困救助保障下高血压住院患者的病情严重程度及医疗费用情况,为减少患者“因病致贫”,巩固脱贫攻坚成果和建立有效的“因病返贫”防控机制提供建议。方法:对36439例高血压住院患者数据进行描述性分析,通过卡方检验和非参数检验分析不同医疗保障体系下高血压住院患者病情程度分布特征差异和医疗费用分布特征差异。结果:接受医疗贫困救助高血压住院患者占比和人数都在不断增加。而这一扩大的群体集中在56~75岁的中老年人,且这些中老年人大部分是农民,并且可能是由于高血压并发症或者高血压伴合并症并发症导致的劳动失能而导致的贫困。此外,接受医疗贫困救助的56~65岁高血压住院患者的各项次均医疗费用更高。结论:亟需加强农村地区56~75岁的中老年人“因病致贫”的监测和及早干预;做好疾病“三级预防”工作,避免居民“因病致贫”;巩固脱贫攻坚成果,避免患者“因病返贫”;完善医疗贫困救助可持续发展的运行机制,规范资金落实与使用。Objective:It aims to study the population characteristics and medical expenditure characteristics of hospitalized patients with hypertension under the guarantee of poverty relief in a poor county of Henan Province,so as to provide suggestions for reducing the "poverty caused by illness",consolidating the achievements of poverty alleviation and establishing an effective mechanism to prevent "returning to poverty due to illness".Methods:Descriptive analysis was conducted on the data of 36 439 hospitalized patients with hypertension.The differences in the distribution characteristics of disease degree and medical expenses of hospitalized patients with hypertension under different medical payment systems were analyzed by chi square test and nonparametric test.Results:The proportion and number of hospitalized patients with hypertension receiving medical poverty assistance are increasing.This expanded group is concentrated in the elderly aged 56-75,most of whom are farmers and may be poverty caused by labor disability caused by hypertension complications or hypertension with complications.In addition,the average medical expenses of hospitalized patients with hypertension aged 56-65 who receive medical poverty assistance are higher.Conclusion:It is needed to strengthen the monitoring and early intervention of farmers aged 56-75 in rural areas.Doing a good job in the "tertiary prevention" of diseases to avoid "poverty caused by diseases".Consolidating the achievements of poverty alleviation can avoid patients "returning to poverty due to illness".It is needed to improve the operating mechanism for the sustainable development of medical poverty relief and standardize the implementation and use of funds.

关 键 词：医疗贫困救助 高血压 住院患者 医疗费用 

分 类 号：R1-9[医药卫生—公共卫生与预防医学] F840.613[经济管理—保险]