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目的 分析我国大城市 15岁及以上居民就诊费用及其变化趋势 ,探讨影响居民门诊费用的因素 ,为卫生改革和控制医药费用进一步上涨提供参考依据。方法 利用 1993年和 1998年二次国家卫生服务调查 15岁及以上患者两周就诊情况的资料 ,采用描述性分析和建立对数线性回归模型的方法。结果 地区、年龄、性别、文化程度、收入水平、医疗保障制度、疾病别的次均就诊费用存在差异。结论 性别、疾病种类、医疗保障制度、收入、恩格尔系数、病人自身对所患疾病严重程度的认识是影响 15岁及以上居民就诊费用的主要因素。
Objective To analyze the cost of visits to residents aged 15 years and over in large cities in China and their changing trends, and to explore the factors that affect residents’ outpatient expenses, so as to provide reference for health reforms and control of medical expenses. METHODS Using descriptive analysis and the establishment of a log-linear regression model using data from two-week visits of patients aged 15 years and over in the National Health Service Survey of 1993 and 1998. Results Regional, age, gender, education level, income level, medical security system, and other illnesses all had different treatment costs. Conclusion Gender, disease type, medical security system, income, Engel’s coefficient, and the patient’s own knowledge of the severity of the disease are the main factors affecting the cost of attending the residents aged 15 and over.