论文部分内容阅读
目的了解浙江省宁波市社区慢性阻塞性肺疾病(COPD)患者的直接经济负担情况,为制定减轻宁波地区经济负担的卫生政策提供理论依据。方法整群随机抽取宁波市24个县(市、区)中的2个城市和1个城乡结合部的慢性病防控示范区信息系统及医院电子病历中诊断为COPD,沟通无障碍且符合本次调查的入组和排除标准的患者作为调查对象。采用逐户走访填写问卷并结合查阅病案的方法对803名调查对象进行走访,调查内容涉及患者的一般人口学特征,疾病相关内容及直接经济负担相关费用。结果宁波市社区COPD患者的人均年直接经济负担费用为4243元,男女之间的差异存在统计学意义(t=2.259,P=0.024),各年龄组之间的差异无统计学意义(F=2.822,P=0.06)。影响COPD直接经济负担的因素有年龄、性别及婚姻状况。结论宁波地区社区COPD患者的直接经济负担是巨大的,国家应及时制定有效的卫生政策,对影响COPD直接经济负担的因素进行有效的干预和调节。
Objective To understand the direct economic burden of patients with chronic obstructive pulmonary disease (COPD) in community in Ningbo City, Zhejiang Province, and to provide a theoretical basis for the development of health policy to alleviate the economic burden in Ningbo. Methods The cluster was randomly selected from 24 cities in Ningbo (cities and districts), 2 cities and 1 urban-rural combination area for chronic disease prevention and control demonstration area information system and hospital electronic medical records in diagnosis of COPD, accessibility and compliance with this Patients enrolled in the study and those excluded were surveyed. Eighty-three surveyed persons were interviewed on a household-by-family basis to complete the questionnaire and examine the case record. The survey covered the general demographic characteristics, disease-related contents and direct economic burden of the patients. Results The per capita annual direct economic burden of COPD patients in Ningbo was 4243 yuan. The difference between men and women was statistically significant (t = 2.259, P = 0.024). There was no significant difference among all age groups (F = 2.822, P = 0.06). Factors that affect the direct financial burden of COPD are age, gender and marital status. Conclusion The direct economic burden of COPD patients in community in Ningbo is huge. The state should formulate effective health policies in time to effectively intervene and adjust the factors that affect the direct economic burden of COPD.