摘要
目的:探讨住院慢性阻塞性肺疾病(COPD)患者的经济负担及其影响因素。方法:采用自行设计的问卷对85名住院COPD患者进行调查,内容包括患者的一般情况、患病后对经济负担的主观感受、治疗期间是否与医生讨论治疗费用、医疗费用的解决途径等。应用Logistic回归分析对结果进行统计学分析。结果:住院COPD患者自觉经济负担较重者占54.1%,住院期间与医生讨论医疗费用的患者仅占30%,不与医生讨论医疗费用的主要原因为患者认为不能解决问题及没有必要,COPD患者主观经济负担与患者经济状况、年龄呈负相关(<0.05),与性别相关(<0.01),女性比男性更易感受到疾病带来的经济负担。结论:住院COPD患者主观经济负担严重,医生对患者经济负担重视不足。
Objective:To investigate the economic burden and effective factors with patients of COPD.Method:Questionnaires filled by 85 COPD patients,including patients’information,the feeling of economic burden,discussion about the fee with doctors and the way of sol-ving the economic problems,analysis by Logistic.Result:54.1% COPD patients felt economic burden,but only 30% of them discussed costs with doctors,economic burden was relative to age、income and sex.The reason of not discussion economic problem with doctors mainly is that patients think its unnessary or ineffective.Conclusion:COPD patients had economic burden,but doctors ignored it.
出处
《医学与社会》
2010年第8期23-25,共3页
Medicine and Society
关键词
慢性阻塞性肺疾病
经济负担
住院
Chronic obstructive pulmonary disease
Ecnomic burden
Be in hospital