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目的:揭示城乡医疗保障一体化后,影响乡镇卫生院患者次均费用的主要因素,为控制农村居民医药费用的增长提供依据。方法:比较不同性别、年龄、疾病类型的患者次均费用,并采用SAS 9.1统计软件对这些影响因素进行统计描述。结果:(1)90%的门诊费用都控制在100元以内;(2)2010和2011年次均费用维持在60元以内,但如冠心病、高血压等慢性病的次均费用不降反升,门诊人次有所增加;(3)农村慢性病患者有增长趋势,且趋于年轻化。结论:应加强乡镇卫生院医疗建设,并做好对广大农村居民常见病、慢性病的健康教育及预防保健工作。
Objective: To reveal the main factors that affect the average cost of patients in township health centers after the integration of urban and rural medical insurance, and provide the basis for controlling the rural medical expenses. Methods: The average cost of patients of different genders, ages and types of diseases was compared. SAS 9.1 statistical software was used to describe these influencing factors statistically. Results: (1) 90% of the outpatient expenses were controlled within 100 yuan; (2) the average cost in 2010 and 2011 remained within 60 yuan, but the average cost of chronic diseases such as coronary heart disease and high blood pressure did not fall but rise , Outpatient visits have increased; (3) rural chronic disease patients have an increasing trend, and tend to be younger. Conclusion: The medical construction of township hospitals should be strengthened and health education and prevention and care work on common and chronic diseases of rural residents should be done.