我国三城市高血压患者疾病经济负担分析

Analysis of f＇mancial burden of hypertension patients in three cities

目的分析北京市、杭州市、南京市城镇高血压患者疾病经济负担情况。方法在三城市分别随机抽取两个社区，从每个社区的高血压管理册中随机抽取300名患者进行问卷调查。结果三城市高血压患者的家庭医疗保健支出合计占家庭收入的14．4％，占家庭支出的18．2％，远高出全国平均家庭的健康支出比例（10．6％）。但大部分高血压患者自感疾病负担不重。城镇基本医疗保险有助于降低高血压患者的疾病经济负担，高血压疾病经济负担影响患者的就诊住院行为。结论有效的社区高血压监测和控制体系是降低高血压患者疾病经济负担的重要途径。基本医疗保险中针对高血压患者的血压防控费用报销政策有待进一步完善。

Objective To measure the financial burden incurred by hypertension to urban patients in Beijing, Nanjing and Hangzhou cities. Methods Two communities were sampled from the three cities randomly, and 300 hypertension patients were sampled randomly from hypertension control files in each community for questionnaire survey. Results Health expenditure of the families with hypertension patients accounts for 14. 4% of the family＇s income, and 18. 2% of the family＇s expenditure, a ratio far beyond the national average （10. 6%）. However, the majority of them report the burden as affordable. The basic medical insurance for urban residents helps alleviate the financial burden of hypertension patients and the extent of such burden has a close bearing on the outcome of hypertension treatment and prevention. Conclusion Effective community-based blood-pressure monitoring and control system is key to reducing the financial burden of hypertension. The reimbursement policy for hypertensive patients within the basic medical insurance is expected to be further improved.