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目的通过分析甘肃省农村慢性病住院患者情况,掌握农村居民慢性病防治重点,为卫生适宜技术筛选提供依据。方法抽取甘肃省兰州市皋兰县、张掖市临泽县2007年基层医疗机构住院患者病例资料,获取疾病、费用等信息,并分析其构成情况。结果农村慢性病住院患者在县、乡级医疗机构住院患者中所占比例为37.78%;常见的慢性病为循环系统、消化系统、呼吸系统疾病;县、乡医疗机构日均住院费用分别为(216.15±1.88)(、87.03±1.66)元,差异有统计学意义(P<0.05);县、乡医疗机构例均住院费用分别为(2 342.39±2.38)(、680.74±1.79)元,差异具有统计学意义(P<0.05);县级医疗机构慢性病住院费用以手术费、西药费、诊疗费为主,占76.25%;乡级以西药费、手术费、床位费为主,占70.02%。结论农村医疗机构住院患者中以慢性病患者为主,手术费和药费是慢性病患者住院费用的主要影响因素,应推广针对慢性病治疗的农村卫生适宜技术。
Objective To analyze the situation of inpatients with chronic diseases in rural areas of Gansu Province and to master the key points of prevention and treatment of chronic diseases among rural residents so as to provide the basis for screening appropriate health technologies. Methods The data of inpatients in grass - roots medical institutions in Gaolan County, Lanzhou City, Zhangye City in 2007 and diseases, costs and other information were collected and analyzed. Results The proportion of hospitalized patients with chronic diseases in rural areas was 37.78%. The common chronic diseases were circulatory system, digestive system and respiratory system. The average daily hospitalization costs of county and township medical institutions were (216.15 ± 1.88), (87.03 ± 1.66) yuan, the difference was statistically significant (P <0.05); the average hospitalization expenses of county and township medical institutions were (2 342.39 ± 2.38) (, 680.74 ± 1.79) yuan respectively, the difference was statistically significant (P <0.05). The cost of hospitalization for chronic diseases in county-level medical institutions was mainly 76.25%, which was surgery, western medicine and medical treatment, accounting for 70.02% of the total. Conclusion Chronic disease patients are the mainstay of inpatients in rural medical institutions. Surgical fees and drug charges are the main factors affecting the hospitalization costs of chronic patients, and the appropriate technology of rural health for chronic diseases should be popularized.