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目的了解2型糖尿病患者药品费用情况及影响因素,为降低2型糖尿病患者药品费用提供建议和对策。方法采用随机抽样方法,在天津市红桥医院、天津市人民医院、天津市三潭医院的内分泌科对260名2型糖尿病患者进行问卷调查,采用描述性分析和卡方检验进行药品费用及影响因素的分析。结果医疗费用负担沉重,药品费用占较大比重,使用胰岛素的患者药品费用明显高于不使用胰岛素的患者,门诊特殊病相关医保政策不完善,医保管理不严格造成医疗资源浪费。结论改革药品流通机制,降低药品价格,完善糖尿病相关医保政策,加强健康教育,非药物干预与药品治疗相结合。
Objective To understand the cost of drugs and its influencing factors in patients with type 2 diabetes and to provide suggestions and countermeasures to reduce the cost of drugs in patients with type 2 diabetes. Methods A total of 260 patients with type 2 diabetes were surveyed by the endocrinology department of Tianjin Hongtong Hospital, Tianjin People’s Hospital and Tianjin TanTan Hospital using the random sampling method. The descriptive analysis and Chi-square test were used to study the cost and influence of the medicine Factor analysis. Results The medical expenses were heavy, and the cost of medicines accounted for a large proportion. The cost of drugs for patients using insulin was significantly higher than that of patients not using insulin. The medical insurance policies related to outpatient special diseases were not perfect, and medical insurance was not strictly caused by medical resources waste. Conclusion The reform of drug circulation mechanism, reducing drug prices, improving diabetes-related health insurance policies, strengthening health education, non-drug intervention and drug treatment combined.