| 引用本文：陆慧, 王建明, 吕洁琼, 汪颖, 岳己强, 孙新娟, 王爱萍.老年糖尿病足患者诊疗服务利用及经济负担的定性研究[J].中国卫生政策研究,2015,8(3):60-64 |
|
| 老年糖尿病足患者诊疗服务利用及经济负担的定性研究 |
| 投稿时间：2014-11-13 修订日期：2015-01-05 PDF全文浏览 HTML全文浏览 |
| 陆慧1, 王建明1, 吕洁琼1, 汪颖1, 岳己强1, 孙新娟2, 王爱萍2 |
1. 南京医科大学公共卫生学院 江苏南京 211166;
2. 南京军区糖尿病足中心 江苏南京 210028 |
| 摘要:目的:了解老年糖尿病足患者的就医行为、服务利用和经济负担情况, 为改善老年糖尿病足的防治效果提供政策建议。方法: 采用目的抽样, 获得知情同意后对南京军区联勤部解放军第四五四医院2013年12月—2014年1月住院治疗的15例老年糖尿病足患者进行个人深入访谈。结果:老年糖尿病足患者具有较高的卫生服务需求, 重“治”轻“防”;服务利用和效果受经济水平、医疗保障制度、社区服务提供能力等诸多因素影响。结论:为提高老年糖尿病足患者的治疗效果和生命质量, 应加强患者的健康教育, 以社区为基础建立一体化的疾病管理与服务体系, 制定减轻患者疾病经济负担的政策。 |
| 关键词:糖尿病足 服务利用 个人深入访谈 老年 |
| 基金项目:江苏高校优势学科建设工程资助项目(JX10331801);江苏省高校哲学社会科学研究基金资助项目(2014SJB160) |
|
| Qualitative analysis on the utilization of health services and economic burden of the elderly patients with diabetic foot ulcer |
| LU Hui1, WANG Jian-ming1, LV Jie-qiong1, WANG Ying1, YUE Ji-qiang1, SUN Xin-juan2, WANG Ai-ping2 |
1. School of Public Health, Nanjing Medical University, Nanjing Jiangsu 211166, China;
2. Diabetic Foot Center, The 454th Hospital of Chinese PLA, Nanjing Jiangsu 210028, China |
| Abstract:Objective: To explore the health seeking behavior, utilization of health services and the economic burden of the elderly patients with diabetic foot ulcer (DF), with aim to provide policy evidence for improving their DF prevention and treatment outcomes. Methods: The purposive sampling method was applied to recruit 15 elderly DF patients treated in the 454th Hospital of Chinese PLA from December 2013 to January 2014. After informed consent, they were in-depth interviewed. Results: The elderly with DF had a higher demand for the health services. They emphasized on treatment and neglected prevention. The utilization and efficiency of health services were affected by patients' economic level, medical insurance, capacity of community services, and so on. Conclusion: In order to improve the treatment outcome and quality of life for the elderly DF patients, it's necessary to strengthen patients' health education, to build a community-based and integrated health care system on DF prevention, treatment and management, and to develop the policies for reducing DF related economic burden. |
| Key words:Diabetic foot ulcer Utilization of health services In-depth interviews The elderly |
| 摘要点击次数: 1751 全文下载次数: 5 |
|
|
|
|
|
