黑龙江省不同医保制度高血压患者卫生服务利用差异分析

发布时间：2018-03-16 21:31

本文选题：医疗保障制度　切入点：高血压患者　出处：《中国公共卫生》2017年03期 　论文类型：期刊论文

【摘要】：目的分析参加不同医保制度的高血压患者卫生服务利用差异。方法使用全国卫生服务调查中黑龙江省数据,采用一般描述性分析、χ~2检验、F检验进行数据分析。结果城镇职工参保患者两周患病率(21.89%)、年住院率(4.34%)、住院实际报销比(51.83%)最高;两周就诊率(16.73%)最低。城镇居民参保患者两周患病未就诊率最高为44.44%;住院实际报销比最低为33.73%。新农合参保患者两周就诊率最高为42.08%;两周患病率、两周患病未就诊率、年住院率最低,分别为12.18%、16.97%、3.00%。参加不同医保制度的高血压患者在性别、文化程度、收入情况、高血压患病率、两周患病天数,两周患病率、两周就诊率、人均住院费方面差异均有统计学意义(P0.01)。结论医疗保障制度可影响参保患者的卫生服务需要和利用。通过提高医疗保险的覆盖率,逐步缩小不同医疗保障制度保障水平的差距,逐步完善基层卫生机构慢病门诊补偿制度等方式,不断促进高血压患者卫生服务利用的公平。
[Abstract]:Objective to analyze the difference of health service utilization among hypertension patients participating in different medical insurance systems. Methods the data of Heilongjiang Province were used in the national health service survey. Using general descriptive analysis, 蠂 ~ 2 test and F test, the data were analyzed. Results the prevalence rate of urban workers participating in insurance was 21.89%, the annual hospitalization rate was 4.34%, and the actual reimbursement ratio was 51.83%. The highest rate of not seeing a doctor in two weeks was 44.44; the actual reimbursement ratio of hospitalization was 33.73; the highest rate of seeing a doctor in two weeks was 42.08; the prevalence rate of two weeks was two weeks, and the rate of not seeing a doctor in two weeks was the lowest. The annual hospitalization rate was the lowest, 12.18% and 16.97% respectively. The patients with hypertension who participated in different medical insurance systems had the following characteristics: sex, education, income, prevalence rate of hypertension, days of illness in two weeks, prevalence rate of two weeks, rate of seeing doctors in two weeks. Conclusion the medical security system can affect the health service needs and utilization of insured patients. By increasing the coverage rate of medical insurance, the gap between different medical security systems can be gradually reduced. To improve the system of outpatient compensation for chronic diseases in primary health institutions and promote the fair utilization of health services for hypertensive patients.
【作者单位】：哈尔滨医科大学公共卫生学院社会医学教研室;
【基金】：国家自然科学基金(71333003;71573068)
【分类号】：R197.1;R544.1

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