Rural chronic disease patient treatment flow and cost based on intervention study in Jiangsu Province
10.3969/j.issn.1674-2982.2017.11.008
- VernacularTitle:农村慢性病患者就诊流向及费用——基于江苏省的干预研究
- Author:
li Xiao GU
1
,
2
;
健康相关重大社会风险预警协同创新中心 江苏南京 211166
;
fu Dong QIAN
;
Xuan YIN
;
Cheng CHEN
Author Information
1. 南京医科大学医政学院 江苏南京 211166
2. 健康相关重大社会风险预警协同创新中心 江苏南京 211166
- Keywords:
Flow tendency of seeking medical treatment;
Medical expenses;
Chronic diseases;
Rural area
- From:
Chinese Journal of Health Policy
2017;10(11):46-51
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To analyze the situation of seeking medical treatment and assess the impact of interven-tion on rural chronic disease patients.A comprehensive intervention strategy was developed and implemented in rural area of Jiangsu province.Methods:According to the implementation plan,a random sampling method was adopted in Gaochun,Jingjiang and Huaiyin districts of Jingsu province to select a total of 4 261 people to be surveyed on the baseline,with 2116 people were in the intervened group and 2 145 in the controlled group,which was conducted for one year.The changes of flow tendency,times and expenses of seeking medical treatment before and after the inter-vention were analyzed.Results:After intervention,patients with chronic disease choosing primary health institutions for medical treatment has obviously improved, which was observed to be significant when compared with the con-trolled group.The average times of seeking medical treatment in primary health institutions is exceeding 10 times and which is significantly higher than before the intervention and the controlled group.After the intervention, patients, medical expenses reduced,which is significantly lower than that of the controlled group.Conclusions: Through one year of intervention,more and more patients with chronic diseases were choosing primary health institutions for medi-cal treatment.But the medical expenses have not yet achieved good control.So the support of national policy to fur-ther standardize the patients,behavior of seeking medical treatment is still needed.
