Expenditure in outpatient department and pharmacy on patients with hypertension and the influence from community health management program
10.3760/cma.j.issn.0254-6450.2016.02.020
- VernacularTitle:社区健康管理对高血压患者门诊及药店购药费用的影响
- Author:
Bo JIANG
1
;
Yichong LI
;
Mei ZHANG
;
Zhengjing HUANG
;
Yan LIU
;
Limin WANG
Author Information
1. 150081,哈尔滨医科大学卫生统计学教研室
- Keywords:
Hypertension health management;
Basic public health services
- From:
Chinese Journal of Epidemiology
2016;37(2):248-253
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore the impact of health management programs on hypertension related to their cost of the hypertensive,so as to provide evidence for related policy-making.Methods Data was from the 2011 China Non-communicable and Chronic Disease Survey Project which was developed in 161 counties (districts) and Xinjiang production and Construction Corps.Information regarding hypertensive patients were collected through a questionnaire.Two-part model was used to analyze the influence from health management scheme.Results This study included 1 1 294 participants who were 35 years old or beyond,with 4 904 (43.42％) males and 6 390 (56.58％) females.The median cost from the outpatient was 100 (30-200) Yuan,and the cost of patients under management program were significantly lower than those without (P＜0.05).Median pharmacy cost appeared as 30 (15-100) Yuan but there was no significant difference noticed between the cost from the managed or unmanaged patients (P＞0.05).Regarding the calculation on the outpatient cost,results showed that the patients under the management program were more likely to practice ‘outpatient-medical-behavior’ (OR=2.50,95％CI:2.26-2.76) with nearly three quarters of the cost from the unmanaged patients.Hypertensive patients from the urban areas were more likely to adopt ‘medical behavior’ (OR=1.31,95％CI:1.18-1.45) which was 1.69 times of the costs from the rural patients.Results of the pharmacy cost showed that the urban hypertension patients were more likely to purchase medicine (OR=1.10,95％CI:1.01-1.20) and was 1.19 times the costs of the rural patients.Conclusion Health management program on hypertension showed preliminary but promising results in reducing the out-patient cost in the treatment of hypertension,thus should be promoted and implemented.
