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山东大学学报(医学版) ›› 2014, Vol. 52 ›› Issue (9): 109-112.doi: 10.6040/j.issn.1671-7554.0.2014.046

• 公共卫生与管理学 • 上一篇    

山东省城乡高血压患者医疗费用及负担分析

孙维帅, 孙强   

  1. 山东大学卫生管理与政策研究中心 卫生部卫生经济与政策研究重点实验室, 山东 济南 250012
  • 收稿日期:2014-01-21 修回日期:2014-09-06 出版日期:2014-09-10 发布日期:2014-09-10

Medical expenses and economic burden of hypertension patients in rural and urban of Shandong province

SUN Weishuai, SUN Qiang   

  1. Center for Health Management and Policy, Shandong University, Key Lab for Health Economics and Policy Research, Ministry of Health, Jinan 250012, Shandong, China
  • Received:2014-01-21 Revised:2014-09-06 Online:2014-09-10 Published:2014-09-10
  • Contact: 孙强。E-mail:qiangs@sdu.edu.cn E-mail:qiangs@sdu.edu.cn

摘要: 目的 了解山东省城乡高血压患者医疗费用及其构成,评估高血压患者经济负担。方法 采用随机整群抽样法选取山东省城区和农村县(市)共7个,通过现场问卷调查等方法收集到5188例登记管理的高血压患者信息。结果 城市和农村高血压患者平均医疗费用分别为900.4元和655.2元,导致灾难性家庭支出的比例分别为8.1%和7.0%。患者城乡、收入和患病年限不同,医疗费用也明显不同。估计全省高血压医疗总费用为164.9亿元。结论 建议在继续降低农村高血压患者经济负担的情况下,关注城市患者的家庭经济负担。

关键词: 高血压, 经济负担, 医疗费用

Abstract: Objective To evaluate the medical expenses of hypertension and its constitution, and to calculate the economic burden of hypertension in rural and urban of Shandong province. Methods Three urban districts and four rural counties were selected by random cluster sampling method. The data of 5 188 managed hypertension patients were collected through questionnaire survey. Results The average medical expenses of urban and rural hypertension patients were 900.4 and 655.2 RMB respectively. And the proportions of households with catastrophic health expenditure were 8.1% and 7.0% respectively in urban and rural areas. Urban patients, poor patients and patients with longer illness years had higher medical expenditure. The total medical expense of hypertension reached 16.49 billion RMB as estimated in Shandong province. Conclusion More attention should be paid to reducing the economic burden of hypertension in urban areas, under the condition of continuing to reduce the economic burden of hypertension in rural areas.

Key words: Medical expenses, Hypertension, Economic burden

中图分类号: 

  • R544.1
[1] Ezzati M, Lopez A D, Rodgers A, et al. Selected major risk factors and global and regional burden of disease[J]. Lancet, 2002, 360(9343):1347-1360.
[2] World Health Organization. Global health risks: mortality and burden of disease attributable to selected major risks[M]. Geneva: World Health Organization, 2009.
[3] Mittal B V, Singh A K. Hypertension in the developing world: challenges and opportunities[J]. Am J Kidney Dis, 2010, 55(3):590-598.
[4] Kearney P M, Whelton M, Reynolds K, et al. Global burden of hypertension: analysis of worldwide data[J]. Lancet, 2005, 365(9455):217-223.
[5] Lim S S, Vos T, Flaxman A D, et al. A comparative risk assessment of burden of disease and injury attributable to 67 risk factors and risk factor clusters in 21 regions, 1990-2010: a systematic analysis for the Global Burden of Disease Study 2010[J]. Lancet, 2012, 380(9859):2224-2260.
[6] 卫生部心血管病防治研究中心. 中国心血管病报告2012[M]. 北京:中国大百科全书出版社,2013:1.
[7] 中国高血压防治指南修订委员会. 中国高血压防治指南[M]. 北京:人民卫生出版社,2006:9.
[8] 孙红梅,吴丽芹,周奇文. 高血压病经济负担的影响因素研究[J]. 齐齐哈尔医学院学报,2008,29(22):2700-2702. SUN Hongmei, WU Liqin, ZHOU Qiwen. Study of risking factors of the burden of hypertension[J].Journal of Qiqihar University of Medicine, 2008, 29(22):2700-2702.
[9] 王淑秀,王鹏,张敏丽,等. 老年高血压患者疾病家庭负担状况及影响因素[J]. 医学综述,2009,15(18):2855-2857. WANG Shuxiu, WANG Peng, ZHANG Minli, et al. Analysis for the family burden and its associated factors in the aged patients with hypertension[J]. Medical Recapitulate, 2009, 15(18):2855-2857.
[10] Kawabata K, Xu K, Carrin G. Preventing impoverishment through protection against catastrophic health expenditure[J]. Bull World Health Organ, 2002, 80(8):612.
[11] 叶芳,王燕. 重大疾病对家庭经济影响的研究综述[J]. 中国卫生经济,2013,32(3):24-26. YE Fang, WANG Yan. Review on economic impact of critical disease on households[J]. Chinese Health Economics, 2013, 32(3):24-26.
[12] 山东省统计局,国家统计局山东调查总队. 山东统计年鉴 2012[M]. 北京:中国统计出版社,2012:62.
[13] 辛英,饶克勤,徐玲. 我国城乡居民家庭高血压疾病经济负担分析[J]. 中国卫生经济,2010,29(5):69-71. XIN Ying, RAO Keqin, XU Ling. Analysis of the economic burden of hypertension in urban and rural households in China[J]. Chinese Health Economics, 2010, 29(5):69-71.
[14] 孟庆跃,汤胜蓝,王义伟,等. 城镇医疗保障制度改革对单病种住院费用的影响研究[J]. 中国卫生资源,2001,4(4):157-159. MENG Qingyue, TANG Shenglan, WANG Yiwei, et al. Impact of urban health insurance reform to medical expenses of two medical conditions[J]. Chinese Health Resources, 2001, 4(4):157-159.
[15] 张容瑜. 卫生政策要素对农村高血压患者就医行为和费用的影响研究[D]. 济南:山东大学,2012.
[16] 张国. 不同医疗保障制度患者住院费用比较研究[D]. 合肥:安徽医科大学,2012.
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