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| 新农合对高血压患者就医行为和费用影响 | |
| 引用本文： | 张容瑜,尹爱田,Lizheng Shi,等. 新农合对高血压患者就医行为和费用影响[J]. 中国卫生经济, 2011, 30(11): 57-59 |
| 作者姓名： | 张容瑜 尹爱田 Lizheng Shi 等 |
| 作者单位： | 1. 山东大学卫生管理与政策研究中心 济南250012 2. 杜兰大学公共卫生与热带病学院卫生管理系美国 新奥尔良 70112 3. 山东省疾病预防控制中心 济南250014 |
| 基金项目： | WHO、国家卫生部和卢森堡——山东省农村卫生人员培训与慢性病控制项目 |
| 摘 要： | 目的:通过2010年的横断面调查,探讨新型农村合作医疗制度对于农村高血压患者就医行为和就医费用的影响。方法:采取多阶段分层随机抽样方法,在山东省8个县随机抽取了6 216名25周岁以上的农村居民进行家庭健康问卷调查。采用Logistic回归和广义线性回归分析了4个新型农村合作医疗制度变量的影响。结果:享受高血压补偿政策和即时报销政策的患者倾向于前往更低层次的医疗机构就诊;门诊报销比例高导致高血压患者就诊费用升高(P=0.080),而享受高血压补偿政策导致费用下降(P=0.005)。结论:新型农村合作医疗制度中针对高血压制定相关补偿政策和报销政策,可以改善患者的就医行为,减轻患者的经济负担。 |
| 关 键 词： | 经济激励 新型农村合作医疗制度 就医行为 就医费用 高血压 |
Impact of Financial Incentives on Healthcare Seeking Behaviors and Healthcare Expenditure among Rural Patients with Hypertension Covered by the New Rural Cooperative Medical Scheme in China |
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| ZHANG Rong-yu,YIN Ai-tian,Lizheng Shi,et al.. Impact of Financial Incentives on Healthcare Seeking Behaviors and Healthcare Expenditure among Rural Patients with Hypertension Covered by the New Rural Cooperative Medical Scheme in China[J]. Chinese Health Economics, 2011, 30(11): 57-59 | |
| Authors: | ZHANG Rong-yu YIN Ai-tian Lizheng Shi et al. |
| Affiliation: | ZHANG Rong-yu,YIN Ai-tian,Lizheng Shi,et al. Center for Health Management and Policy,Shandong University,Ji'nan,250012,China |
| Abstract: | Objective:The cross-sectional study in 2010 aimed at examining the impact of the new rural cooperative medical scheme(NCMS)reimbursement incentives on healthcare seeking behaviors and healthcare expenditure among patients with hypertension.Methods:A multi-step random sampling method was used to enroll rural residents in Shandong Province of China.According to the local economic level,8 counties were selected and a total of 6 216 rural residents of 25 years and above received population surveys and physical ... |
| Keywords: | financial incentive new rural cooperative medical system healthcare seeking behavior healthcare expenditure hypertension |
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