[1]程配华,邓 晶,陈艾玲,等.贫困精神分裂症患者医疗费用影响因素研究 ——基于重庆市某区的实证分析[J].卫生经济研究,2022,39(10):52-57.
 CHENG Peihua,DENG Jing,CHEN Ailing,et al.A Study on the Factors Influencing Medical Costs of Poor Schizophrenia Patients——Based on an Empirical Analysis in a District of Chongqing[J].Journal Press of Health Economics Research,2022,39(10):52-57.
点击复制

贫困精神分裂症患者医疗费用影响因素研究
——基于重庆市某区的实证分析
分享到:

卫生经济研究[ISSN:1004-7778/CN:33-1056/F]

卷:
39
期数:
2022年10期
页码:
52-57
栏目:
疾病经济负担
出版日期:
2022-09-26

文章信息/Info

Title:
A Study on the Factors Influencing Medical Costs of Poor Schizophrenia Patients
——Based on an Empirical Analysis in a District of Chongqing
作者:
程配华1邓 晶1陈艾玲1刘 锐1罗兴能2
1.重庆医科大学公共卫生学院,医学与社会发展研究中心,重庆400016
2.重庆市沙坪坝区中梁镇卫生院,重庆400036
Author(s):
CHENG Peihua DENG Jing CHEN Ailing LIU Rui LUO Xingneng
School of Public Health, Chongqing Medical University, Chongqing 400016, China
关键词:
贫困精神分裂症医疗费用影响因素
Keywords:
poverty Schizophrenia medical costs influencing factors
分类号:
R195
文献标志码:
A
摘要:
目的:分析贫困精神分裂症患者的医疗费用及其影响因素,为降低患者疾病经济负担提供实证依据。方法:采集2018年重庆某区571名贫困精神分裂症患者就诊数据,以安德森卫生服务修正模型为理论框架,分析医疗费用的影响因素。结果:贫困精神分裂症患者医疗费用高于其他疾病人群,患者医疗费用受多种因素影响,其中是否享受二代药项目救助、是否家庭医生签约对象、年龄、医保类型、就诊次数、就诊机构类型、就诊机构级别和医疗方式对医疗费用具有显著影响。结论:减轻贫困精神分裂症患者医疗费用负担,需要从多方面综合考虑。
Abstract:
Objective To analyze the medical expenses of poor schizophrenia patients and their influencing factors, and to provide empirical evidence for reducing the economic burden of the disease. Methods The medical treatment data of 571 impoverished schizophrenia patients in a district of Chongqing in 2018 were collected, and the influencing factors of medical expenses were analyzed using the Anderson Health Service Modified Model as the theoretical framework. Results The medical expenses of poor patients with schizophrenia were higher than those of other disease groups. And the medical expenses of patients were affected by many factors, including whether they enjoyed the second-generation drug project assistance, whether the family doctor contracted, age, medical insurance type, number of visits, and type of medical institution, the level of medical institutions and medical methods. Conclusion To reduce the burden of medical expenses for poor schizophrenia patients, it is necessary to comprehensively consider from many aspects.

参考文献/References:

[1] 冯毅,熊先军,项莉,等.深圳市不同医保精神分裂症住院患者费用特征研究[J].卫生经济研究,2013(12):49-51.
[2] 刘洪光,丁小倩,匡莉.深圳市某院精神分裂症患者住院费用情况及影响因素分析[J].实用预防医学,2013,20(5):629-632.
[3] Puspitasari Irma M,et al.Medication profile and treatment cost estimation among outpatients with schizophrenia, bipolar disorder,Depression,and Anxiety Disorders in Indonesia[J].Neuropsychiatric Disease and Treatment,2020,16(default):815-828.
[4] Gonzalez B. Costo de la atención ambulatoria para esquizofrenia en Medicina Familiar[J].Revista Medica Del Instituto Mexicano Del Seguro Social,2019,57(4):213-217.
[5] 宋春华,马骏,崔壮,等.天津市精神分裂症患者住院费用研究[J].中国卫生统计,2012,29(3):2.
[6] 陈山泉,潘瑶,周武,等.精神分裂症按床日付费的负面效应及对策分析[J].中国卫生经济,2013(5):54,59-60.
[7] 赵静,吕钦谕,郭向晴,等.积极式个案管理对社区精神分裂症复发及卫生经济学影响[J].中国神经精神疾病杂志,2014,40(11):7.
[8] 吴越,张紫娟,姚建军,等.积极性社区干预对精神分裂症患者疗效及家庭经济负担的影响[J].环境与职业医学,2015,32(8):763-766,770.
[9] Lin Dee,et al.Medication adherence,healthcare resource utilization,and costs among Medicaid beneficiarieswith schizophrenia treated with once-monthly paliperidone palmitate or once-every-three-months paliperidone palmitate[J].Current Medical Research and Opinion,2021,37(4) :675-683.
[10] Yeddula Praveena,et al.Cost effectiveness analysis of olanzapine and risperidone in schizophrenic patients in the Indian healthcare settings of Andhra Pradesh,India[J].Journal of Pharmaceutical Health Services Research, 2020,11(3) :223-229.
[11] Tingjian Yan,et al.Health care cost inpatients with schizophrenia treated with brexpiprazoleversus other oralatypical antipsychotic therapy[J].Clinical Therapeutics,2020,42(1):77-93.
[12] Choon June W Y,et al.Real-world evidence of improved healthcare utilization in patients with schizophrenia or schizoaffective disorder after early treatment of paliperidone palmitate once-monthly treatment in Hong Kong[J].Journal of Medical Economics,2019,22(3):273-279.
[13] 姚星星,吴晶.天津市城镇职工基本医疗保险精神分裂症患者抗精神病药的使用情况及其医疗费用[J].中国心理卫生杂志,2015,29(11):801-805.
[14] Andersen R M.Revisiting the behavioral model and access to medical care:does it matter[J].Journal of Health and Social Behavior,1995,36(1):1-10.
[15] Chen R,Li N X,Liu X.Study on the equity of medical services utilization for elderly enrolled in different basic social medical insurance systems in an underdeveloped city of Southwest China[J].International Journal for Equity in Health,2018,17(1) :54.
[16] 孙琳,周哲颖,万清,等.7074例精神疾病患者住院费用影响因素分析[J].中华医院管理杂志,2007(7):477-481.
[17] 朱宝,李长平,崔壮,等.参保精神分裂症患者住院费用及影响因素分析[J].中国公共卫生,2012,28(2):139-140.
[18] 韩雪燕,蒋锋,周惠宣,等.北京市6529例精神疾病患者住院费用及影响因素研究[J].中国卫生质量管理,2020,27(3):4.
[19] 2018年政府工作报告[EB/OL].(2018-03-05). http://www.gov.cn/guowuyuan/2018zfgzbg.htm.
[20] 刘俐,邓晶,于雪,等.相对贫困视域下医疗保障对农村中老年人群因病支出型贫困的减贫效果分析[J].中国卫生政策研究,2021,14(5):7.

相似文献/References:

[1]王钦池.消除灾难性医疗支出的筹资需求及其减贫效果测算[J].卫生经济研究,2016,(04):31.
[2]张小娟,刘 阳,彭 博,等.贫困和临界贫困居民的疾病经济风险分析[J].卫生经济研究,2021,38(10):14.
 ZHANG Xiao-juan,LIU Yang,PENG Bo,et al.Analysis of Disease Economic Risk of Poverty and Near Poor Residents[J].Journal Press of Health Economics Research,2021,38(10):14.

更新日期/Last Update: 2022-09-26