摘要
目的评价不同类型肺结核病人的医疗经济负担,为结核病控制的政策制定、实施和资源配置提供依据。方法采用定性研究和定量研究相结合的方法,对经济落后的农村进行调查研究。结果在当地经济条件下,大部分肺结核病人家庭经济状况比较差,越是贫困家庭,医疗经济负担越重;肺结核涂阳病人所需支付的医疗费用在确诊前比确诊后高,涂阴病人在确诊后支付的费用比确诊前大幅度上升;初治涂阴病人确诊后的医疗费用明显比涂阳病人高。结论加强政府承诺,增大筹资幅度,扩大优惠范围,提高农民的医疗保障水平,减轻肺结核病人的医疗负担。
OBJECTIVE To measurement of the medical economy burden of differ types tuberculosis of Fujian Province. METHODES The questionnaire and qualitative study combined were carried out among tuberculosis control in developing areas. RESULTS As the local condition, the economical level of mostly tuberculosis＇ family was lower and the medical economy burden of the poverty family was highest. The burden of the tuberculosis case with smear positive was higher before diagnosed than after, which of the patient with smear negative rapidly increased after diagnosed than before. The medical expenses of the tuberculosis patient with smear positive was more after diagnosed than which of the case with smear negative. CONCLUSION To lighten the medical economy burden of tuberculosis patient must ensure government commitment, raise financing, expand favorable policy and enhance the medical insurance level of farmer.
出处
《中国初级卫生保健》
2006年第3期8-10,共3页
Chinese Primary Health Care
基金
世行贷款/英国赠款中国结核病控制项目(2004年160号)。
关键词
肺结核
医疗经济负担
定量研究
定性研究
tuberculosis, medical economy burden, questionnaire study, qualitative study
