农村精神障碍患者门诊疾病负担调查及救助机制探讨
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摘要
目的:调查甘肃省农村地区精神障碍患者门诊疾病负担状况,为进一步健全精神障碍患者门诊救助机制提供参考依据。方法:采用现场填表、电话访谈、入户调研等方法进行问卷调查,结合精神科及药学专家的测算,进行对照分析和深入研究。结果:468例精神障碍患者年人均门诊经济负担9 523.80元,其中,年人均门诊直接经济负担6 610.10元,年人均门诊间接经济负担2 913.70元。结论:精神障碍患者的疾病特点与长期的、持续的医药费负担是造成农村患者尤其是低(或无)收入家庭"因病致贫""因病返贫"的主要根源,呼吁引起全社会共同关注,将精准扶贫与合理控费作为减轻患者疾病负担的切入点,增加精神类长期门诊疾病医保报销病种,提高报销比例,进一步建立健全救助机制。
Objective: To provide the reference for further improvement of outpatient assistance mechanism of mental disorder patients by investigating outpatient disease burden of mental disorder patients in rural area of Gansu province. Methods: Questionnaire was performed by using site filling, telephone interview, household investigation and others, analyzed and studied further on the foundation of the budget assessed by the experts of psychiatry and pharmacy. Results: Annual outpatient economic burden of 468 mental disorder patients were 9 523.80 Yuan per capita, among them, annual direct economic burden 6 610.10 yuan per capita, annual outpatient indirect economic burden 2 913.70 yuan per capita. Conclusion: The disease characteristics of mental disorder patients and long-term,persistent medical costs are the main source of causing rural patients, especially low-income(no-income) family,poverty, which deserves the common concern of the whole society, we should take targeted measured in poverty alleviation and reasonable cost control as the breakthrough point of easing the patients′ disease burden, increase the disease of medical insurance reimbursement for long term outpatient diseases, raise reimbursement ratio and further perfect assistance mechanism.
Objective: To provide the reference for further improvement of outpatient assistance mechanism of mental disorder patients by investigating outpatient disease burden of mental disorder patients in rural area of Gansu province. Methods: Questionnaire was performed by using site filling, telephone interview, household investigation and others, analyzed and studied further on the foundation of the budget assessed by the experts of psychiatry and pharmacy. Results: Annual outpatient economic burden of 468 mental disorder patients were 9 523.80 Yuan per capita, among them, annual direct economic burden 6 610.10 yuan per capita, annual outpatient indirect economic burden 2 913.70 yuan per capita. Conclusion: The disease characteristics of mental disorder patients and long-term,persistent medical costs are the main source of causing rural patients, especially low-income(no-income) family,poverty, which deserves the common concern of the whole society, we should take targeted measured in poverty alleviation and reasonable cost control as the breakthrough point of easing the patients′ disease burden, increase the disease of medical insurance reimbursement for long term outpatient diseases, raise reimbursement ratio and further perfect assistance mechanism.
引文
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[2]刘伟平,王震.基于修正恩格尔系数的农村贫困线测定[J].农业经济与管理,2015,33(5):63-69.
[3]冯朝晖.浅谈农村居民人均可支配收入核算[J].统计与管理,2016,31(11):17-18.
[4]李丹.落实“四单”原则打造“四融”平台——甘肃银行业推进精准扶贫精准脱贫[J].中国金融家,2016,22(10):94-95.
[5]熊先军,高星星.规治大病政策回归制度本位[J].中国医疗保险,2016,9(3)21-23.
[6]李鹏程,罗媛,石小娣.甘肃省农村地区精神疾病患者生存状况的田野调查[J].基层医学论坛,2013,17(28):3681-3684.