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目的了解腹泻病患者就诊的经济负担,为开展腹泻病防控工作提供依据。方法采用PPS抽样法选择四川省德阳、眉山两市,在三级、二级、乡镇和专科医疗机构中,对就诊的门诊和住院腹泻病例的医疗保险参保情况、经济负担情况进行个案调查,并将资料进行统计。结果门诊和住院腹泻病例参保率仅分别为54.94%和42.61%,门诊腹泻病例平均花费35.73元,住院腹泻病例平均住院3.75d,花费631.31元,陪护和探视人员误工1.12d。结论通过提高四川省医疗保险参保率、提高群众卫生防病知识和能力、降低药品费用将有利于减少腹泻病例经济负担。
Objective To understand the economic burden of treating diarrhea patients and provide evidence for the prevention and control of diarrhea. Methods The PPS sampling method was used to select the cities of Deyang and Meishan in Sichuan Province. In the tertiary, secondary, township and special medical institutions, medical insurance coverage and economic burden of outpatients and in-hospital diarrhea cases were investigated. And data statistics. Results The prevalence rates of outpatient and inpatient diarrhea were only 54.94% and 42.61% respectively. The average outpatient diarrhea expenditure was 35.73 yuan, the average length of stay in hospital was 3.75 days, the cost was 631.31 yuan and the number of accompany and visiting workers was 1.12 days. Conclusions By raising the coverage rate of medical insurance in Sichuan Province, improving the public knowledge and ability of health prevention and disease prevention, reducing the cost of medicines will help to reduce the economic burden of diarrhea cases.