分析不同并发症条件下的帕金森病治疗护理支出:基于中国的经验研究
Yuelin Zhou1, Yanru Li1, Jia Li2
1School of Management, Chengdu University of Traditional Chinese Medicine, HEOA Group, Chengdu, Sichuan Province, China.
BMC geriatrics
|March 7, 2025
概括
帕金森病的治疗护理支出很大,个人和家庭承担大部分费用. 为帕金森病患者推优化保险和开发多层安全系统.
科学领域:
- 卫生经济学 卫生经济学
- 公共卫生 公共卫生
- 神经学 神经学
背景情况:
- 帕金森病 (PD) 具有显著的治疗护理支出 (CCE).
- 了解基于并发症的CCE变异对于卫生政策至关重要.
- 这项研究评估了中国四川的PD CCE.
研究的目的:
- 评估帕金森病的治疗护理支出.
- 在不同的并发症条件下分析CCE.
- 为帕金森病管理的健康政策制定提供信息.
主要方法:
- 在1600个机构中,37604名PD患者的多阶段分层随机抽样.
- 使用2011年卫生账户系统 (SHA2011) 分析CCE,融资和患者群.
- 多重线性回归以确定影响住院费用的因素.
主要成果:
- 2019年四川的PD CCE总额为3629万美元 (占全省疾病CCE的0.11%).
- 家庭自付款和公共融资是主要来源.
- 较高的并发症与增加的CCE和老年患者人口统计相关.
结论:
- 帕金森病带来了高昂的治疗费用,主要由个人和家庭承担.
- 建议包括优化医疗保险,加强门诊覆盖,提高福利水平.
- 建议通过多方合作建立多元化,多层次的医疗安全系统.
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