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目的:了解浙江省农村居民门诊费用水平及其影响因素,为减轻农村患者医药费用负担提供参考。方法:采用分层整群抽样调查的方法,对在县、乡、村医疗机构就医的3342例门诊患者进行现场问卷调查。结果:人均门诊费用为67元,其中药费为45元,门诊费用的主要影响因素为年龄、费用支付方式和就诊机构等。结论:药费占门诊费用的比例过高,应重视农村卫生适宜技术推广应用工作,同时进一步完善我国基本医疗保障制度。
OBJECTIVE: To understand the outpatient cost of rural residents in Zhejiang Province and its influencing factors so as to provide reference for alleviating the burden of medical expenses in rural patients. Methods: A stratified cluster sampling method was used to survey 3342 outpatients who were hospitalized at county, township and village medical institutions. Results: The per capita outpatient cost was 67 yuan, of which the cost of medicine was 45 yuan. The main influencing factors of outpatient expenses were age, fee payment method and visiting institution. Conclusion: The proportion of medical expenses in outpatient service is too high. We should attach importance to popularization and application of suitable technology for rural health and at the same time further improve the basic medical insurance system in our country.