| 引用本文：刘菲, 刘璎珞, 陈茜, 吴越, 张晨, 潘思丞, 胡明.中国西部三省慢性病家庭用药负担调查[J].中国卫生政策研究,2017,10(12):54-58 |
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| 中国西部三省慢性病家庭用药负担调查 |
| 投稿时间：2017-03-08 修订日期：2017-09-01 PDF全文浏览 HTML全文浏览 |
| 刘菲, 刘璎珞, 陈茜, 吴越, 张晨, 潘思丞, 胡明 |
| 四川大学华西药学院 四川成都 610041 |
| 摘要:目的：调查中国西部三省慢性病患者家庭用药负担及医改政策实施后的改善状况。方法：采用问卷调查方法，在广西、陕西、四川3省分别抽取省会城市和1个中等城市，每城市抽取三级、二级医院和社区卫生服务中心2家，对每家机构就诊的慢性病患者进行问卷调查。结果：共发放问卷900份，回收有效问卷838份，有效回收率为93.11%。97.85％的患者参加了各种医疗保险。家庭平均健康总支出1 364.84元/月，占月总支出的37.43％；慢性病支出700.34元/月，占健康总支出的51.31％。平均购药总费用为628.74元/月，用药负担为16.73%。主要所患慢性病为高血压、糖尿病，家庭疾病负担最重的为缺血性心脏病、慢性肾病。不同省份、省会城市和非省会城市、不同级别医疗机构用药负担有较大差异。患者对医改效果有体会，但对医改政策不熟悉。结论与建议：所调查患者基本纳入医保，但慢病患者家庭用药负担仍然较重。因此，相关部门还需进一步采取措施，提高慢性疾病门诊报销比例，减轻患者用药费用负担。 |
| 关键词:慢性病 用药负担 中国西部 |
| 基金项目:国家自然科学基金项目（71473170） |
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| Investigation of the affordability of chronic diseases drug use in families from three provinces in Western China |
| LIU Fei, LIU Ying-luo, CHEN Qian, WU Yue, ZHANG Chen, PAN Si-cheng, HU Ming |
| West China School of Pharmacy, Sichuan University, Chengdu Sichuan 610041, China |
| Abstract:Objective:To investigate the affordability of chronic diseases and drug use in families three provinces in western China. Methods:Questionnaire survey was conducted in 6 cities in 3 west provinces of China-Guangxi, Shanxi and Sichuan. In each province, one provincial capital city and one medium-sized city were selected. 2 community health service centers, 2 secondary hospitals and 2 tertiary hospitals were selected from each city as the survey sites. Questionnaire was designed and pre-tested in advance, and delivered to sample patients' families in survey sites by face-to-face interview. Results:Totally 900 questionnaires were sent out, and 838 were effectively received with effective recovery of 93.11%. 97.85% of patients participated in various medical insurance. The average health expenditure of households was 1 364.84 yuan per month and accounted for 37.43% of the total expenditure; chronic diseases expenditure was 700.34 yuan per month and accounted for 51.31% of the total health expenditure. The average monthly drug expenditure was 628.74 yuan and represented 16.73% of the total household expenditure. Surveyed family members mainly suffered from chronic diseases, hypertension and diabetes, and the heaviest disease burden in families came from ischemic heart disease and chronic kidney disease. Different provinces, provincial capitals and non-provincial cities, and different levels of medical institutions have a greater difference in drug burden. Patients have experienced the effect of medical reform, but not familiar with the specific health care reform policies. Conclusions and Suggestions:The surveyed patients' families were basically involved in the Medicare, but the burden of family medication for patients with chronic diseases was still heavy. Therefore, government should take further measures to improve the proportion of chronic diseases outpatient and reduce the burden of medication costs. |
| Key words:Chronic disease Affordability of drug use Western China |
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