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目的目的:了解宜昌市城区医疗机构门诊就诊糖尿病患者的基本情况和医疗费用情况,为卫生行政部门制定适合本地的防治策略提供基础数据和科学依据。方法通过宜昌市健康智能信息平台采集2015年1月1日至12月31日城区各医疗机构门诊糖尿病患者的相关信息,利用SPSS 22.0软件分析患者在人群的分布特征、并发症的发病情况及医疗费用支出情况。结果研究共纳入16 207例糖尿病患者,其中男性9 096例,女性7 111例,主要分布于46岁以上的人群,男性患者的患病年龄比女性小;1 001例患者发生并发症,合并5种和1种并发症者最集中,占83.82%,以合并周围血管病、眼并发症和肾病为主;不同支付方式患者的门诊费用存在差异,全自费患者的就诊费用最高。结论宜昌市城区糖尿病及并发症发病现已逐渐趋于年轻化,不同支付方式患者的门诊费用存在差异,医疗机构要加强宣教,积极倡导健康生活方式,行政部门要进一步完善各类医保政策,扩大医保覆盖面;卫生行政部门要以糖尿病为切入点完善双向转诊,真正惠及百姓。
Objectives: To understand the basic situation and medical expenses of outpatients with diabetes in urban medical institutions in Yichang City, and provide the basic data and scientific basis for the health administrative department to formulate the local prevention and control strategies. Methods From January 1, 2015 to December 31, 2015, Yichang City Health Intelligence Information System was used to collect the relevant information of outpatients with diabetes in urban areas. SPSS 22.0 software was used to analyze the distribution characteristics of patients in the population, the incidence of complications and medical treatment Expenditure situation. Results A total of 16 207 patients with diabetes were enrolled, of whom 9,096 were male and 7,111 were female, mainly in people over 46 years of age. The prevalence of male patients was younger than that of women; the complication occurred in 1 001 patients with 5 The species and one kind of complication were the most concentrated, accounting for 83.82%. The main complications were peripheral vascular disease, ocular complications and nephropathy. The outpatient expenses of patients with different payment methods were different. Conclusion The incidence of diabetes mellitus and complication in urban area of Yichang City has gradually become younger. The outpatient expenses of patients with different payment methods are different. Medical institutions should step up their propaganda and advocate a healthy lifestyle, and the administrative departments should further improve various medical insurance policies and expand Health insurance coverage; health administrative departments to diabetes as the starting point to improve two-way referral, the real benefits to the people.