山东省城乡高血压患者医疗费用及负担分析

Medical expenses and economic burden of hypertension patients in rural and urban of Shandong province

目的了解山东省城乡高血压患者医疗费用及其构成,评估高血压患者经济负担。方法采用随机整群抽样法选取山东省城区和农村县(市)共7个,通过现场问卷调查等方法收集到5 188例登记管理的高血压患者信息。结果城市和农村高血压患者平均医疗费用分别为900.4元和655.2元,导致灾难性家庭支出的比例分别为8.1%和7.0%。患者城乡、收入和患病年限不同,医疗费用也明显不同。估计全省高血压医疗总费用为164.9亿元。结论建议在继续降低农村高血压患者经济负担的情况下,关注城市患者的家庭经济负担。

Objective To evaluate the medical expenses of hypertension and its constitution,and to calculate the economic burden of hypertension in rural and urban of Shandong province.Methods Three urban districts and four rural counties were selected by random cluster sampling method.The data of 5 188 managed hypertension patients were collected through questionnaire survey.Results The average medical expenses of urban and rural hypertension patients were 900.4 and 655.2 RMB respectively.And the proportions of households with catastrophic health expenditure were 8.1% and 7.0% respectively in urban and rural areas.Urban patients,poor patients and patients with longer illness years had higher medical expenditure.The total medical expense of hypertension reached 16.49 billion RMB as estimated in Shandong province.Conclusion More attention should be paid to reducing the economic burden of hypertension in ur-ban areas,under the condition of continuing to reduce the economic burden of hypertension in rural areas.