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 hospitalization and its cost of chronic disease patients in rural areas of Gansu provice and to explore key points of chronic disease prevention and treatment among rural residents for the screening of appropriate health technologies. Methods The data on hospitalization and its cost of rural inpatients were collected from medical instutions in Gaolan and Linze county of Gansu province in 2007,and the distributions of disease and cost of the hospitaltzation were analyzed. Results The proportion of inpatients with chronic disease was 37.78% for all inpatients in county-and township-level hospitals.The common chronic diseases for the inpatients were circulatory,digestive,and respiratory system disease. The average daily cost of the hospitalization in county and township-level hospital were 216.15±1.88 and 87.03±1.66 RMB yuan with a significalt difference between the hospitals at different levels(P<0.05);the average costs of per hospitalization in county-and township-level hospital were 2342.39±2.38 and 680.74±1.79 RMB yuan.The main expenditures(76.25%) for hospitalizaton at county-level were surgical expense,medicine fee,and the charge for consultation and those(70.02%)at township-level were medicine fee,operation fee,and bedding fee. Conclusion The patients with chronic disease account for a maior part of inpatients and the costs of medicine and operation are the main factors affecting the expenditure of the inpatients in the countryside.Appropriate health technologies for the treatment of chronic diseases should be promoted.