江门市农民2003—2007年鼻咽癌住院基本情况与支付费用调查

The investigation of nasopharyngeal carcinoma patient＇ basic information of hospitalization and the cost to pay between the Jiangmen country dweller during 2003 to 2007

目的分析广东省江门市农民鼻咽癌患者基本情况和医疗费用支付状况，为建立与完善农民的疾病医疗保障制度提供依据。方法对农民鼻咽癌患者的一般情况、住院次数、住院总费用及付费方式等指标进行回顾性分析。结果鼻咽癌在农民中发病率较高，男女发病比例为2．53：1，46～55岁年龄组为鼻咽癌发病高峰年龄段。89．9％的农民患者只住院一次，总支出费用3万以下的占86．84％，97．37％的农民患者医疗费用支付方式是自费。结论疾病风险是农民所面临的诸多现实威胁中最普遍的一种，应加快农村医疗体制建设，建立和完善农村医疗救助制度，提高农村医疗的可行性。

Objective Analysis of basic medical expenses and pay conditions to peasant patients with nasopharyngeal carcinoma in the city of Jiangmen in Guangdong province, the establishment and improvement of health care system for peasants is re＇gently needed.Methods General state of health, the times of hospitalization, the total cose for hospitalization and the way to pay were reviewed and made them into form.Results Nasopharyngem cancinoma is the head of the list in the incidence among peasants, the ratio of male and female incidence is 2.53： 1, 46-55 is the high incidence in the age group of NPC.89.9 percent of the peasant patients hospitalized only once, with a total expenditure of less than 30,000 accounted for 86.84 percent, 97.37 percent of the farmers to pay medical expenses of patients is at their own expense.Conclusions To the peasants, disease is the most common kind of risk during the much real threatenlt should speed up the construction of rural health care system, establish and improve the rural medical assistance system, improve the rural medical feasibility.