烟台市慢性病患者疾病经济负担现状及对策建议

Suggestion on the Present Situation and Countermeasures of the Disease Economic Burden of Chronic Patients in Yantai

目的了解烟台市慢性病疾病经济负担现状,制订解决对策。方法通过抽样调查、简单的描述性分析和线性回归方程,初步探讨慢性病发病和疾病经济负担的影响因素。结果烟台市高血压、冠心病、脑血管病、糖尿病、骨关节炎、慢性阻塞性肺疾病、慢性胃肠炎和恶性肿瘤患者的经济负担依次为3 725元/(人·年)、7 985元/(人·年)、23 509元/(人·年)、6 526元/(人·年)、8 498元/(人·年)、9 169元/(人·年)、5 731元/(人·年)和69 857元/(人·年)。年龄、预防保健意识薄弱、门诊报销比例低、超重与肥胖以及基层医疗机构技术水平薄弱是加重疾病经济负担的主要影响因素。结论应加强基层卫生人才队伍建设,开展"互联网+医疗",加大门诊报销比例,健康促进关口前移,提高全人群的身体素质。

OBJECTIVE To understand the current situation of economic burden of chronic diseases in Yantai and to formulate countermeasures. METHODS Sample survey, simple descriptive analysis and linear regression equation were used to study the factors affecting the morbidity of chronic diseases and the economic burden of disease. RESULTS The economic burden of hypertension, coronary heart disease,cerebrovascular disease, diabetes mellitus, osteoarthritis, chronic obstructive pulmonary disease, chronic gastroenteritis and malignant tumor in Yantai were 3 725, 7 985, 23 509, 6 526, 8 498, 9 169,5 731 and 69 857 yuan/person. Age, weak awareness of prevention and care, low rate of outpatient reimbursement, overweight and obesity, weak technical level of primary medical institutions were the main factors that aggravated the economic burden of disease. CONCLUSION It needed to strengthen the construction of grass-roots health personnel, carry out "internet + medical treatment",increase the proportion of outpatient reimbursement, improve health and promote the physical quality of the whole population.