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[目的]查清广西腹泻病患者的疾病经济负担及其影响因素,为该病防制提供依据。[方法]采用整群随机抽样的方法,对柳州市和罗城县抽中的社区和村屯的2万余名居民开展夏、冬季两次入户调查,调查腹泻患者诊治等相关费用的开支情况及影响因素,并进行多因素回归分析。[结果]两地两次共调查42330人次,发现腹泻病例442例。直接费用人均为43.02元,其中直接医疗费用为28.89元,直接非医疗费用为14.13元;从家庭角度计算的间接费用人均为10.92元;总费用人均为53.94元。对422例病例进行影响总费用的10个相关因素的逐步回归分析,结果显示病例导致的总费用与就医行为、首诊医院的级别、腹泻持续天数、住址和就诊次数等5个因素有关。[结论]腹泻病仍导致一定的疾病经济负担;为提高诊治的效率和降低疾病经济负担,除严重的病种和症状体征的患者外,应更多地利用基层医疗机构进行诊治,并加强对基层医生常见病和多发病诊疗技术的培训。
[Objective] To find out the economic burden of diarrhea patients and its influencing factors in Guangxi and provide the basis for the prevention of this disease. [Methods] The cluster random sampling method was used to carry out summer and winter household surveys of more than 20,000 residents in communities and villages in pumping stations in Liuzhou City and Luocheng County to investigate the expenses related to diagnosis and treatment of diarrhea patients Conditions and influencing factors, and conduct multi-factor regression analysis. [Results] A total of 42,330 people were investigated twice in both places, and 442 cases of diarrhea were found. The direct cost per capita was 43.02 yuan, of which 28.89 yuan for direct medical costs, direct non-medical costs of 14.13 yuan; from the family point of view the overhead cost per capita was 10.92 yuan; the total cost per capita was 53.94 yuan. The stepwise regression analysis of 10 factors affecting the total cost of 422 cases showed that the total cost incurred by the case was related to the medical treatment, the level of the first hospital, the duration of diarrhea, the address and the number of visits. [Conclusion] Diarrheal diseases still cause certain economic burden of diseases. In order to improve the efficiency of diagnosis and treatment and reduce the economic burden of disease, more patients should be treated with primary medical institutions besides severe diseases and symptoms and signs, Primary care and frequently-occurring disease diagnosis and treatment of technical training.