现代医药卫生Issue(22)：3395-3398,4.DOI:10.3969/j.issn.1009-5519.2014.22.016
四川省某县城乡居民慢性病情况、就医现状与经济负担调查
Investigation of the status and economic burden of receiving medical treatments of urban and rural residents with chronic ;diseases in a county of Sichuan province
摘要
Abstract
Objective To investigate the present situation and economic burden of receiving medical treatments of urban and rural residents with chronic diseases in a county of Sichuan province and provide policy basis for the development of health prevention and service system. Methods The self-designed questionnaire were adopted to 1 000 urban and rural residents from Weiyuan county,who were randomly selected in June 2013,and the results were analyzed statistically. Results 95.2%residents were suffering from chronic diseases in varying degree,and the rural was higher than the urban;nearly 48.1%residents suffered from hypertension,which was obvious higher than the national average level;the patients with chronic disease knew little about their disease. The urban patients preferred to municipal hospital,which provided better medical treatments;while the rural pa-tients preferred to private clinic,which provided cheaper medical treatments;it was not unusual that the patients did not see the doctor knowing they were sick,and over 80.0%the patients,who saw the doctor when sick,did not respect the prescription com-pletely. The family monthly per capita income of 51.6%urban patients and 51.8%rural patients were between 500 and 2 000 RMB. Medical costs could be accepted grudgingly by 70.0%urban patients and 68.0%rural patients ,registration fee for outpa-tient service was the most easy to accept and drug fee for inpatient service was the most hard to accept. More than 64.3%patients did not attend medical insurance,and 19.9%urban patients and 9.1%rural patients still did not think that medical insurance re-imbursement could solve the problem of expensive medical treatments. Conclusion The basic health status of urban and rural residents are not good,the patients with chronic diseases have low healthy literacy generally and heavy economic burden,and the rural patients are more serious than the urban residents. It might be helpful to increase the health literacy of residents ,strengthen the construction of medical institutions and management,develop green economy of west area with steady steps,reform and im-prove the medical security system.关键词
慢性病/四川/农村人口/市区人口/经济学/健康状况Key words
Chronic disease/Sichuan/Rural population/Urban population/Economics/Health status引用本文复制引用
李杰,徐双兰,杨继文..四川省某县城乡居民慢性病情况、就医现状与经济负担调查[J].现代医药卫生,2014,(22):3395-3398,4.基金项目
川北医学院科研立项课题（1106079）。 （）
