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目的掌握清新区农村居民慢性病经济负担现状,为降低农村居民的慢性病经济负担提供理论依据。方法 2012年2—9月清远市疾病预防控制中心采用多阶段整群随机抽样方法,共抽取清新区206个村(居)委会,4 020户户籍人口,10 581人,进行农村居民慢性病经济经济负担现状的分析。结果当前脑血管疾病(1.42%)、糖尿病(1.37%)、心血管系统疾病(1.29%)等慢性非传染性疾病已经成为清新区农村居民的最主要疾病;清新区的慢性病主要以医院层面的治疗为主,最近1次住院的慢性病患者中接近1/2是在县级医院,住院天数在15 d及以上的占40.12%,住院治疗慢性病患者主要以每年一二次为主;患者需要多次到医院就诊、买药,大大增加了患者的医疗负担,这也是导致费用支付高、医保资金压力大的主要原因。结论慢性病给该区家庭、患者和社会造成的直接经济负担日益严重,高比医疗成本费是其重要的影响因素。
Objective To understand the status of economic burden of chronic diseases of rural residents in Qingxin District and provide theoretical basis for reducing the economic burden of chronic diseases of rural residents. Methods From February to September 2012, Qingyuan Municipal Center for Disease Control and Prevention adopted a multistage cluster random sampling method. A total of 206 village (neighborhood) committees and 4,020 household population and 10 581 residents in Qingxin District were sampled for chronic diseases of rural residents Analysis of Economic Burden. Results Currently, chronic non-communicable diseases such as cerebrovascular diseases (1.42%), diabetes (1.37%) and cardiovascular diseases (1.29%) have become the most serious diseases among rural residents in Qingxin District. Chronic diseases in Qingxin District are mainly hospital-based Treatment, the most recent hospitalization of chronic diseases in nearly 1/2 in the county hospital, hospital stay in the 15 d and above accounted for 40.12%, hospitalized patients with chronic diseases mainly once or twice a year; patients need more Times to the hospital for treatment, buy medicine, greatly increased the patient’s medical burden, which is the main reason for the high cost of payment, the pressure of medical insurance funds. Conclusion The direct economic burden caused by chronic diseases to families, patients and society in this area is becoming more and more serious. The high cost ratio of medical costs is the most important factor.