安徽省脑血管疾病住院费用研究

The costs of inpatient care due to cerebrovascular disease in Anhui,China

目的:研究安徽省一年内脑血管疾病住院费用。方法:采用随机整群抽样,于2014年4—12月由经过统一培训的调查员采用结构化问卷在安徽省开展入户家庭问卷调查。结果:调查共收集60 678份有效问卷,过去一年内因脑血管住院387人次。脑血管病每千人口住院率和住院日分别为6.38‰和88.34天,城市高于农村;住院费用占全部住院费用的9.12%,次均直接住院费用为3 890.95元;住院费用成为家庭灾难性卫生支出的超过23.30%。结论:脑血管疾病应着重于重点人群的预防和治疗,制定相应方针政策指导患者合理就医,完善保障制度,以降低疾病负担。

Objective：This study aimed to investigate inpatient cerebrovascular disease care costs in Anhui. Methods ：The study collected data through a household survey conducted during April to December, 2014 , using cluster-randomized sampling and a structured questionnaire administered by trained interviewers. Results：The survey covered 60 678 residents and 387 person-times of inpatient cerebrovascular disease care during the past year. Annual person-times and days of inpatient cerebrovascular disease care per thousand population added up to 6.38‰ and 88.34 days,respectively,and urban residents showed significantly greater admission rates and length of stay than that of rural ones. Total care expenditures accounted for 9.12% of all that of inpatient care for the whole population. Per-case direct cost on disease care was 3 890.95 RMB. Out-of-pocket payment due to disease care turned out to be catastrophic for 23.30%. Conclusion：There is a clear need for more effectively regulating cerebrovascular disease-related medical practices and service seeking behaviors.