慢性病医疗保险门诊与普通门诊治疗冠心病效果比较

目的通过对慢性病医疗保险门诊与普通门诊冠心病患者治疗后有关项目指标的综合观察对比,探讨慢性病医疗保险门诊在冠心病治疗中的作用。方法对定点于山东省泰山慢性病医院慢性病医疗保险门诊治疗的92例冠心病患者1a来的就诊次数、医嘱遵从性、血压、血脂、血糖控制情况以及基于临床症状和心电图判断的疗效进行观察,并与同期随机抽取的能获取1a来完整资料的92例普通门诊冠心病患者进行比较。结果医疗保险门诊冠心病患者医嘱遵从性以及血脂、血压控制情况均优于普通门诊患者,差别均有统计学意义（P〈0.05）。医疗保险门诊冠心病患者治疗后临床症状及心电图理想者分别占45.6%和48.9%,普通门诊患者该构成比分别为29.3%和34.7%,差别均有统计学意义（P〈0.05）。结论慢性病医疗保险门诊对冠心病患者有较好疗效,值得推广。

Comparison of Treatment Effect between Coronary Heart Out-patients with and without Medical Insurance

Objective To explore the role of medical insurance in the treatment of the coronary heart disease（CHD） out-patients with or without medicare. Methods 92 CHD out-patients from the medicare department and 92 CHD out-patients from general department of Shandong Taishan Chronic Disease Hospital were investigated and comparatively analyzed on their clinical data in the past 1 year,including the times of hospital visiting,compliance with doctor＇s instruction,blood pressure,serum lipids and blood glucose control and evaluation of treatment effect based on their clinical symptoms and ECG records.Results The compliance with doctor＇s instruction,blood lipids,blood pressure control of out-patients in medicare department were significantly better than those in general department（P〈0.05）.The improvement rate of clinical symptoms and ECG in out-patients of the medicare department（45.6% and 48.9%） were better than those in the general department（29.3% and 34.7%） after clinical treatment（P〈0.05）. Conclusion The medicare department plays an important role on the clinical treatment of CHD patients.