浙江城市社区高血压患者疾病经济负担分析

Analysis on Economic Burden of Patients with Hypertension in Urban Community for Cities of Zhejiang

目的分析浙江省城市社区高血压患者经济负担,为高血压防控策略制定提供依据。方法采用分段回顾性问卷调查的方法收集1 038名城市社区高血压患者疾病负担信息,采用患病率法测算2009年浙江城市社区所有高血压患者直接经济负担以及每一患者的例均直接负担。结果 2009年浙江省城市所有高血压患者的直接经济负担约为66.50亿元,每一患者的例均直接负担为1 186.92元;大城市和中小城市患者例均负担分别为2 220.01元和228.06元,有并发症和无并发症患者例均负担分别为3 171.53元和804.48元;其中日常门急诊费用所占比例最高为70.69%。结论有效防控高血压减少并发症、完善慢性病医保政策可降低疾病的经济负担。

OBJECTIVE To analyze economic burden of patients with hypertension in urban community of Zhejiang and provide evi- dence for policy-making on hypertension control and prevention. METHODS 1 038 patients with hypertension in urban community were surveyed by four-stage retrospective questionnaire to collect economic costs on hypertension, prevalence-rate method was used to calculate direct economic burden of all patients with hypertension in urban community of Zhejiang in 2009. RESULTS Total direct economic burden of all patients with hypertension in urban community of Zhejiang in 2009 was 6.65 billion yuan and average costs of one patient were 1 186.92 yuan, 70.69% of which were outpatient costs. Average costs of one patient in large city and middle-small city were 2 220.01 RMB yuan and 228.06 RNB yuan respectively, and in patients with and without complications were 3 171.53 yuan and 804.48 yuan respectively. CONCLUSIONS Effective disease control and medical insurance on hypertension could reduce economic burden.