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目的比较重性精神疾病管理治疗项目(以下简称“686项目”)城乡示范区重性精神疾病患者的病程、住院时间以及治疗费用等,为国家制定对贫困患者的补助政策提供客观数据。方法对河北省城乡两个示范区住院患者的疾病资料及住院费用进行分析,总结城乡两个患者群体的患病特点及所需费用。结果二者在家族史、住院次数、病程、治疗效果上差异均无统计学意义(P>0.05)。城市示范区总费用(6 064.5±435.5)元,药费(658.4±90.4)元,检查费用(827.1±71.8)元,平均住院天数(45.8±8.5)d;农村示范区总费用(4 804.8±262.3)元,药费(611.7±56.7)元,检查费用(524.1±51.6)元,平均住院天数(39.4±7.9)d,二者分别比较差异均有统计学意义(P<0.001)。结论城市示范区患者的住院费用高于农村示范区。农村患者住院时间短,康复时间短,且目前还没有康复站、日间医院等,因此这些患者康复的实施需要在医院的一些康复基地进行,农村患者的住院费用应进一步提高。
Objective To compare the duration of illness, hospitalization time and treatment cost of patients with severe mental illness in urban and rural demonstration areas with the objective of providing the objective data for the state to formulate the subsidy policy for poor patients. Methods The data of inpatients’ illness and hospitalization in two demonstration areas of urban and rural areas of Hebei Province were analyzed, and the prevalence and costs of the two urban and rural patients were summarized. Results There was no significant difference in family history, number of hospitalizations, course of disease and treatment effect between the two groups (P> 0.05). The total cost (6,064.5 ± 435.5) yuan, the cost of medicine (658.4 ± 90.4) yuan, the examination cost (827.1 ± 71.8) yuan and the average length of stay in hospital (45.8 ± 8.5) days in urban demonstration area; the total cost of rural demonstration area (4 804.8 ± 262.3) yuan, medical expenses (611.7 ± 56.7) yuan, examination costs (524.1 ± 51.6) yuan, the average length of stay (39.4 ± 7.9) d, respectively, the difference was statistically significant (P <0.001). Conclusion The cost of hospitalization in urban demonstration area is higher than that in rural demonstration area. In rural areas, hospitalization time is short, rehabilitation time is short, and there are no rehabilitation stations, day hospitals and so on. Therefore, the rehabilitation of these patients needs to be carried out in some rehabilitation bases of the hospitals, and the hospitalization costs of rural patients should be further increased.