摘要
目的调查广西壮族自治区腹泻病患者就诊和治疗情况,了解其诊治行为特征和治疗费用负担。方法从腹泻病发病率较高的柳州市和罗城县城乡居民中搜集腹泻患者,调查腹泻病患者诊治行为和治疗费用使用情况,应用SPSS 13.0软件进行统计分析。结果腹泻病患者就诊率为28.28%(125/442);50.91%(225/442)的患者购药在家治疗,20.81%(92/442)的患者未采取任何治疗措施;腹泻患者以就诊村/个体诊所和乡镇/社区医院为主,就诊率冬季高于夏季(P<0.001);<5岁儿童就诊率较高;腹泻病例就诊治疗费平均41元,其中,门诊40元,住院533.5元,村/个体诊所20元,乡镇/社区医院99.5元,县级以上医院100元;在家自治费平均3元;就诊治疗费高于在家自费治疗(P<0.001),住院治疗费高于门诊治疗费(P<0.001);在乡镇/社区与县级以上医院的就诊治疗费高于村/个体诊所(P<0.001)。结论腹泻病以就诊基层医疗机构为主,病后就诊率偏低,而治疗费并不低;应采取措施降低医疗费用,提高居民的就诊意识,并加大基层卫生服务和腹泻病预防控制方面的投入,以有效降低腹泻病的疾病负担。
Objective To investigate medication behavior and cost of diarrhea cases in Guangxi Zhuang autonomous region. Methods Diarrhea cases were searched from urban and rural residents in two high prevalence areas of diarrhea disease-Liuzhou city and Luocheng county. Then, the medication behavior and cost of the diarrhea patients were investigated. Data was analyzed with SPSS. Results The rate of visiting a doctor for diarrhea medication was 28. 28% （125/442）. 50. 91% （225/442） of patients purchased drugs from drugstores and treated themselves at home. 20. 81% （92/442） of patients did nothing for their diseases. Most of the patients visited village/private clinics and town/community hospitals. The visiting rate was higher in winter than in summer （ P 〈 0. 001 ）, and was higher in children below 5 year old. The median cost of medication for all patients was 41 RMB yuan. For outpatients, inpatients, patients visiting village/private clinics, patients visiting town/community hospitals and patients visiting county or higher level hospitals, the average costs were 40, 533.5,20,99.5 and 1130 RMB yuan, respectively. The average cost of patients treated themselves at home was 3 RMB yuan. Conclusion Diarrhea cases mostly visited basic medical facilities, and the rate of visiting a doctor was very low,but the cost was not low. Measures should be taken to help diarrhea patient get correct medication. There were significant differences in medication cost between patients visiting a doctor and treating themselves and between patients getting different kinds of medication in hospitals or clinics.
出处
《中国公共卫生》
CAS
CSCD
北大核心
2009年第11期1379-1381,共3页
Chinese Journal of Public Health
基金
广西卫生厅重点科研课题(重200717)
博福-益普生(天津)制药有限公司资助
关键词
腹泻病
诊治行为
治疗费用
疾病负担
diarrhea disease
medication behavior
treatment cost
burden of disease
