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中国农村糖尿病患病率逐年增长,糖尿病已成为威胁农村居民健康的主要疾病[1]。糖尿病病程长、预后差等特点会导致患者更多的医疗需求和利用[2]。新医改以来,我国政府大幅度提高了新农合的筹资水平和补偿比例,并逐步扩大了门诊报销范围和比例。在此期间,各级医疗机构相继实施了基本药物制度和药品零差率销售,这些政策措施均会对患者就医行为造成一定的影响。
The prevalence of diabetes in rural China has been increasing year by year, and diabetes has become a major disease that threatens the health of rural residents [1]. Long duration of diabetes, poor prognosis and other characteristics of patients will lead to more medical needs and utilization [2]. Since the new medical reform, our government has substantially raised the funding level and compensation rate of NCMS, and gradually expanded the scope and proportion of outpatient reimbursements. During this period, the medical institutions at all levels have successively implemented the basic drug system and the drug zero sales rate. All these policies and measures will have some impact on the patient’s medical treatment.