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目的:了解门诊就诊癫痫患者的年度药物治疗花费金额及其经济负担情况。方法:使用自行设计的问卷,对三省(市)6家医疗机构连续5个门诊日就诊的癫痫患者进行问卷调查。获取患者的服药信息,构建计算公式,得出患者年度药物治疗总金额,并对治疗费用占家庭人均年收入的比例及医疗保险补偿情况进行分析。结果:门诊癫痫患者中药物治疗者占就诊总数的95.8%,其年度药物治疗花费平均为(4 316.4±4 021.9)元,随着患者家庭人均收入的减少,药物治疗费用占据比例增大,仅少数患者(14.7%)门诊治疗花费能够报销。结论:门诊癫痫患者的药物治疗费用较高,有必要对此进行保险补偿,以减轻其经济负担。
OBJECTIVE: To understand the annual cost of medication and the financial burden of outpatients with epilepsy. Methods: Using self-designed questionnaires, questionnaires were conducted on epilepsy patients from five medical institutions in five provinces (cities) for five outpatient visits. Obtain the patient’s medication information, construct the calculation formula, and get the annual total amount of medical treatment, and analyze the proportion of the treatment cost in the family’s per capita annual income and the medical insurance compensation. Results: The outpatients with epilepsy accounted for 95.8% of the total number of medical treatment, the average annual cost of medical treatment was (4 316.4 ± 4 021.9) yuan, with the reduction of per capita family income, the proportion of the cost of medical treatment increased, only A small number of patients (14.7%) outpatient treatment can be reimbursed. Conclusions: Outpatient epilepsy patients have higher cost of drug treatment and it is necessary to make insurance compensation to reduce their financial burden.