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贫困农村地区高血压及其合并症病人家庭灾难性卫生支出分析
引用本文:崔颖,刘军安,叶健莉,王齐,杨丽,石淑华,卢祖洵.贫困农村地区高血压及其合并症病人家庭灾难性卫生支出分析[J].中国初级卫生保健,2011,25(3):37-39.
作者姓名:崔颖  刘军安  叶健莉  王齐  杨丽  石淑华  卢祖洵
作者单位:1. 中国疾病预防控制中心妇幼保健中心,北京,100013
2. 华中科技大学同济医学院公共卫生学院,武汉,430030
基金项目:卫生部-嘉道理"农村社区健康促进项目"资助
摘    要:目的对贫困农村地区高血压及其合并症患者家庭灾难性卫生支出进行分析,评价新型农村合作医疗(简称新农合)对降低家庭疾病经济风险所起到的作用,为政府控制这类慢性病的经济负担提供政策建议。方法采取面对面的问卷调查方式收集高血压及其合并症患者家庭的卫生支出和费用报销资料,计算灾难性卫生支出和家庭因病致贫情况。结果研究发现,高血压及其合并症具有很强的家庭致贫作用,因高血压及其合并症导致家庭灾难性卫生支出发生率为22.2%,经过新农合制度的费用补偿,灾难性卫生支出发生率下降到19.2%。结论贫困农村高血压及其合并症患者家庭灾难性卫生支出发生率较高,但新农合对缓解这类疾病导致的家庭灾难性卫生支出作用有限,政府应该采取更加有效的措施降低该类疾病的经济负担。

关 键 词:贫困农村  高血压及其合并症  灾难性卫生支出

Analysis of Catastrophic Health Payment Among Rural Families with Hypertension and Complications Patients in Poor Regions
Institution:CUI Ying,LIU Jun-an,YE Jian-li,et al.Center for Women and Children's Health,National Center for Disease Control and Prevention,Beijing,100013,China
Abstract:OBJECTIVE To analysis catastrophic health payment among rural families with hypertension and complications in poor regions,to assess impact of new rural cooperative medical system(NCMS) decreasing economic risk for these families,and to offer policy adives to control economic burden of the chronic disease.METHODS Using questionnaire survey(face to face interviews)to collect medical expenditures and reimbursement data from patients suffered hypertension and complications to measure catastrophic health payment and poverty caused by diseases.RESULTS Hypertension and complications have obvious effect in impoverishing rural families,catastrophic health payment headcount of hypertension and complications is 22.2%,because of reimbursement from NCMS,catastrophic health payment headcount decrease to 19.2%.CONCLUSIONS Catastrophic health payment headcount is higher in rural families with hypertension and complications in poor regions,but NCMS has a limit to reduce catastrophic health payment headcount from hypertension and complications.Government should adopt more effective advises to reduce economic risk of these diseases.
Keywords:rural poor areas  hypertension and complications  catastrophic health payment
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