摘要
目的分析汉中地区农村人口脑卒中所致直接经济负担.方法采用逐户调查的方法对该地区脑卒中的现患患者进行走访,填写自行设计的调查问卷.共走访53个自然村,涉及人口75 000人,调查脑卒中现患患者164例.问卷主要包括住院费、住院食宿费、门诊费、门诊食宿费、上门诊治费、长期用药费、雇佣费、丧葬费和人均收入等项目.结果汉中地区农村人口脑卒中患者年直接经济负担的中位数为3100元,男性和女性间差异无统计学意义(P＞0.05),各年龄组间差异也无统计学意义(P＞0.05).直接经济负担的中位数在1000元及以下的占所有患者的29.2%;1001～5000元占36.0%;5001～10000元占18.3%;10 001～20 000元占9.8%;20 001元以上仅占6.0%.首发患者的年直接经济负担的中位数为5500元,既往患者的年直接经济负担的中位数为1700元,首发患者的年直接经济负担显著性高于既往患者(P＜0.01).中年组住院费、住院食宿费和上门诊治费显著性高于老年组(P＜0.05).结论汉中地区农村人口脑卒中直接经济负担是当地人均经济收入的2.9倍.因此,脑卒中带给农村人口的直接经济负担是巨大的,应制订相应策略,降低农村人口脑卒中的直接经济负担.
Objective To analyze the direct economic burden of stroke in rural areas of Hanzhong. Methods Plan on primary interview was made after the purpose of the study had been informed to the managers of the ‘surveillance field base',heads and members of the monitor assistants and detailed information was collected in the fields. Every single patient of stroke was then interviewed by the above said interviewers,using a self-designed questionnaire.164 patients with stroke were interviewed in 53 villages with 75 000 persons lived there.The main items involved in the questionnaire would include: costs for inpatient or outpatient,reaching-out fees,fee for accommodation during treatment as outpatient,costs for treatment at home,long term medicine,caregivers and funerals as well as average income. Results The median of annual direct economic burden was 3100 Yuan for each patient in Hanzhong rural area.There were no significant differences seen between males and females or among age groups( P > 0.05 ). The proportion of patients with medians of annual direct economic burden of: 1000 Yuan and below, 1001- 5000 Yuan, 5001- 10 000 Yuan, 10 001- 20 000 Yuan and over 20 001 Yuan,were 29.2 %, 36.0 %, 18.3 %, 9.8 % and 6.0 % respectively.The median of annual direct economic burden of first episode stroke was 5500 Yuan for each patient,and that of stroke was 1700 Yuan for each chronic patient.The direct economic burden of first episode was significantly higher than that of stroke( P < 0.01 ).The costs of hospitalization, accommodation of hospitalization and treatment at home of middle-aged patients were significant higher than that of old age patients( P < 0.05 ).Conclusion In this study,the direct economic burden of stroke was 2.9 times of the annual personal average income,which was contrary to the reports from other countries. However,the State Health Bureau bore 87.1 % of the direct economic burden for urban patients,but patients in the rural areas had to pay from their own pockets.The direct economic burden of stroke was heavy in Hanzhong rural region,which called for measures to be made to decrease the direct economic burden of stroke in the region.
出处
《中华流行病学杂志》
CAS
CSCD
北大核心
2005年第7期494-497,共4页
Chinese Journal of Epidemiology
基金
国际临床流行病学工作网(INCLEN)资助项目
