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目的:通过2010年的横断面调查,探讨新型农村合作医疗制度对于农村高血压患者就医行为和就医费用的影响。方法:采取多阶段分层随机抽样方法,在山东省8个县随机抽取了6 216名25周岁以上的农村居民进行家庭健康问卷调查。采用Logistic回归和广义线性回归分析了4个新型农村合作医疗制度变量的影响。结果:享受高血压补偿政策和即时报销政策的患者倾向于前往更低层次的医疗机构就诊;门诊报销比例高导致高血压患者就诊费用升高(P=0.080),而享受高血压补偿政策导致费用下降(P=0.005)。结论:新型农村合作医疗制度中针对高血压制定相关补偿政策和报销政策,可以改善患者的就医行为,减轻患者的经济负担。
OBJECTIVE: To investigate the impact of the new rural cooperative medical system on the medical treatment and medical expenses in rural hypertensive patients through the cross-sectional survey in 2010. Methods: A multistage stratified random sampling method was used to survey 6 216 rural residents over the age of 25 in 8 counties in Shandong Province for household health questionnaire. Logistic regression and generalized linear regression analysis of four new rural cooperative medical system variables. Results: Patients who enjoyed high blood pressure compensation and immediate reimbursement tended to visit lower level medical institutions. High rates of outpatient reimbursement led to an increase in the cost of visiting patients with hypertension (P = 0.080), and the high cost of hypertension compensation policy Decreased (P = 0.005). Conclusion: The new compensation policy and reimbursement policy for hypertension in the new rural cooperative medical system can improve the medical treatment of patients and reduce the financial burden on patients.