摘要
目的了解村级基本药物制度在降低参加合作医疗居民经济负担方面的效果,为寻求合理可持续的慢性病防治策略提供依据。方法对北京市房山区40岁以上参合居民中患有高血压、糖尿病、冠心病或脑卒中且需要进行药物治疗的患者发给免费药物。计算该项政策实施后,农村居民在买药、体检、诊疗以及减少住院和节省交通等方面节约的花费。结果 2008—2010年,房山区共免费发药18种,对比个人购买药品并通过合作医疗报销的方式,可为农村居民节约花费1 792.11万元,慢性病初筛体检可节约花费157.33万元,免除诊疗挂号和诊疗费可节约310.91万元,减少因四种慢性病造成的住院可节约156万元,在本村取药而省去交通费可节约248.73万元。结论新型农村合作医疗村级基本药物制度可从各方面减轻农村居民的经济负担,是一种可长期实行的慢性病防治策略。
Objective To evaluate the effectiveness of essential drugs policy to reduce the economical burden of rural residents involved in the new rural cooperative medical scheme in Fangshan district.Methods Residents aged over 40 received free drugs for hypertension,diabetes,coronary heart disease and stroke from local community health service agencies.Direct cost of drugs,medical examinations and out-patient fees were all evaluated.Besides,reduced in-patient fees and traffic expenditures were also calculated.Results From 2008 to 2010,18 kinds of essential drugs were handed out free of charge in Fangshan district,saving 17.9211 million yuan in total.Besides,1.5733 million yuan was saved from primary screening of chronic diseases;3.1091 million yuan was saved from registration,diagnosis and treatment;1.56 million yuan was saved from hospitalization due to four kinds of chronic diseases;2.4873 million yuan was saved from transportation for drugs.Conclusion The essential drugs policy reduces the economical burden of rural residents effectively in different aspects and it would be an important strategy for the control of chronic diseases.
出处
《中国全科医学》
CAS
CSCD
北大核心
2011年第22期2550-2552,共3页
Chinese General Practice
关键词
新型农村合作医疗
村级基本药物制度
慢性病
经济负担
New rural cooperative medical
Essential drugs policy in rural community
Chronic diseases
Economical burden
作者简介
通讯作者：刘建江，102488北京市房山区卫生局；E—mail：fslwj7520@163．com
