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目的:分析透析费用进入农村大病医疗保险后,我国在医疗保险和诊疗上面临的挑战及其应对措施。方法:通过分析我国肾脏病登记网络中近几年各地区终末期肾脏病患者的发病率、原发病、治疗模式及花费,探讨面临的问题和解决办法。结果:终末期肾脏病患者逐年增加,血液透析是主要的透析方式,花费巨大。县级医院没有足够的透析床位。结论:提倡早期预防,完善透析登记,加强医疗质量管理,建立县级医院血液净化中心,鼓励商业保险参与,以医疗共同体、连锁经营和技术输出形式降低医疗费用。
OBJECTIVE: To analyze the challenges and countermeasures our country faces in medical insurance and diagnosis and treatment after dialysis expenses enter the rural serious illness medical insurance. Methods: By analyzing the incidence, the primary disease, treatment patterns and cost of end-stage renal disease patients in various regions of China in the nephrology registration network in recent years, the problems and solutions to the problems were discussed. Results: Patients with end-stage renal disease increased year by year, hemodialysis is the main method of dialysis, costly. County hospitals do not have enough dialysis beds. Conclusion: It is recommended to promote early prevention, improve dialysis registration, strengthen medical quality management, establish county-level hospital blood purification center and encourage commercial insurance to reduce medical expenses in the form of medical community, chain management and technical output.