摘要
目的分析北京地区六种癌症患者的诊疗情况和疾病经济负担,为癌症防控提供政策建议。方法对北京地区四家医院癌症患者的诊疗情况和医疗费用以及其他相关信息进行问卷调查。结果 49.9%的被调查对象为北京本地患者;80.2%的患者最初因自感身体不适或异常进而主动就医后确诊发现患病;北京患者大肠癌次均住院医疗费用最高(50 885.1元),食管癌次均非医疗费用最高(6 596.5元);癌症患者家庭灾难性卫生支出总体发生率为60.1%。结论因身体不适主动就医是发现癌症的主要方式,癌症患者的经济负担较重而基本医疗保险对其保障水平有限。建议将癌症高危人群评估纳入基本公共卫生服务项目,调整报销政策提高基本医疗保险对癌症患者的补偿水平。
Objective To analyze the discovery approach and economic burden of six kinds of common cancers patients in Beijing and to provide policy advice to cancer control. Methods The questionnaire survey was conducted to obtain discovery approach,treatment costs and other related information of cancer patients in four hospitals in Beijing. Results 49.9% of the respondents were local patients from Beijing;80.2% of the patients were firstly found until diagnosed due to discomfort symptoms; for average hospitalization medical costs in Beijing,colon cancer was the highest($50885.1/time),meanwhile,for average non-medical costs,esophagus cancer was the highest($6596.5/time). Overall incidence of catastrophic health expenditure in cancer patient families was 60.1%. Conclusion The most reported discovery approach of cancer was seeing doctor when the patient felt unwell. Economic burden for cancer patient is high, meanwhile the compensation level of basic health insurance for the patient is still limited now. The risk assessment of cancer for high-risk population should be integrated into primary public health service. The reimbursement policy should be adjusted to improve the compensation level of basic health insurance for the cancer patients.
出处
《肿瘤防治研究》
CAS
CSCD
北大核心
2015年第2期171-176,共6页
Cancer Research on Prevention and Treatment
基金
北京市卫生局委托项目
关键词
癌症
发现途径
治疗费用
医疗保险
疾病负担
Cancer
Discovery approach
Treatment costs
Health insurance
Burden of disease
