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于１９９２．１０．１－１９９２．１０．３１对安贞小区１９８８．１－１９９１．１２首发脑卒中（按照ＭＯＮＩＣＡ诊断标准）存活病人１６１例，进行了疾病经济负担调查。培训１０名调查员，采用统一问卷均入户调查。用历史性回顾询问法。直接经济负担部分作为本次调查分析重点。对结果用ＳＡＳ软件进行单因素及多因素分析。调查结果表明：１６１例脑卒中平均年龄６２．８岁，男性１００例，女性６１例。平均患病年限２．２６年。直接经济负担费用为６３０８．８元／２．２６年，２７９１元／年。其中医院保健花费中住院及门诊费用比例为８１．３５％，急诊、去单位医务室就诊及家庭病床的费用比例占６．７４％。非医院保健花费部分比例为１１．９％。６３０８．８元中由国家报销比例平均为８７．１％。分析表明：影响直接经济负担的主要因素有年龄、职业、医疗负担方式等。年龄低、在职、享受公费医疗的病人费用相对较高。此次调查的结果为脑卒中的预防效果的评价、健康保险的开展、卫生政策的制定等提供了可靠的数值依据。
In 1992.10.1-1992.10.31 Anzhen area 1988.1-1991.12 first episode stroke (according to MONICA diagnostic criteria) 161 patients survived, carried out a survey of economic burden of disease. Training 10 investigators, all using a unified questionnaire survey. Use the historical review inquiry method. The direct economic burden as the focus of this survey. The results using SAS software for single factor and multivariate analysis. The survey results showed that: 161 cases of stroke average age of 62.8 years, 100 males and 61 females. The average duration of illness 2.26 years. Direct economic burden costs 6308.8 yuan / 2.26 years, 2791 yuan / year. Among them, the proportion of inpatient and outpatient expenses spent on health care in hospitals was 81.35%. The proportion of expenses for emergency visits, outpatient medical visits and family beds in units was 6.74%. Non-hospital health spending part of the proportion of 11.9%. 6308.8 yuan in the national reimbursement ratio of an average of 87.1%. The analysis shows that the main factors affecting the direct economic burden are age, occupation and medical burden. The costs of patients who are young, serving and enjoying public medical services are relatively high. The results of this survey provide a reliable numerical basis for the evaluation of the prevention of stroke, the development of health insurance and the formulation of health policies.