论文部分内容阅读
目的了解杭州市城乡社区人群腹泻病发病水平、就诊情况及医疗费用等。方法采取整群抽样的方法抽取上城区2个社区和萧山区3个乡镇居民作为调查对象,共4次入户调查了解其2周内腹泻病发生情况、就诊情况以及因腹泻病产生的各类医疗费用等。结果杭州市共调查了41496人,腹泻病年发病率为0.32次/人年,其中农村年发病率0.41次/人年,高于城市的0.23次/人年。7月和10月是腹泻病高发季节,5岁以下年龄组及55岁以上年龄组两周发病率较高。杭州市腹泻病的就诊率为31.01%,城乡差异无统计学意义,医疗治疗总费用人均为76.08元,报销费用占医疗就诊总费用的15.05%。结论杭州市腹泻病发病率较高,5岁以下儿童及老年人是高发人群,应进一步提高城乡居民患病后的就诊率。
Objective To understand the incidence of diarrheal disease, medical treatment and medical expenses among urban and rural communities in Hangzhou. Methods A cluster sampling method was used to select 2 towns in Shangcheng District and 3 township residents in Xiaoshan District for investigation. A total of 4 household surveys were conducted to investigate the incidence of diarrheal diseases, treatment visits and types of diarrheal diseases Medical expenses and so on. Results A total of 41 496 people were surveyed in Hangzhou. The annual incidence of diarrhea was 0.32 times / person-year, of which the annual incidence was 0.41 times per person in rural areas and 0.23 times per person in urban areas. July and October are the high incidence of diarrheal diseases. The incidence of diarrhea is higher in patients under 5 and below 55 years of age. The rate of visiting diarrhea in Hangzhou was 31.01%. There was no significant difference between urban and rural areas. The total cost of medical treatment was 76.08 yuan per capita. The reimbursement cost accounted for 15.05% of the total cost of medical treatment. Conclusions The incidence of diarrheal disease in Hangzhou is relatively high. Children under 5 years of age and the elderly are high-risk populations. The prevalence of diarrhea in urban and rural residents should be further improved.