武汉市肺癌患者疾病经济负担和医疗保障制度对其影响研究.doc

华中科技大学硕士学位论文低，与此同时，补偿水平与费用负担占收入比重不成正比。4.医疗保险对减轻患者直接经济负担有明显的作用。通过医疗保险的报销，使人均直接医疗性经济负担下降了46.54%。门诊报销率达到60.04%，住院报销率达到55.35%，大幅度降低了患者直接治疗费用自付比例。但是自付负担依然很重。建议根据本研究得出的肺癌患者疾病经济负担分布的特点，医疗保障制度取得的成效以及存在的缺陷，提出了以下减轻肺癌患者疾病经济负担、完善医疗保障制度的建议：1.提高医疗保险制度的覆盖面。大力推广城镇居民医疗保险。提高医疗保险补偿比例，完善医疗保险补偿方案，减少因病致贫率。2.加强对患者的社会支持，重视对患者的临终关怀。3.改善医疗救助水平和方式。民政部门应逐年提高补助水平，实实在在解决肺癌患者的民生问题。4.加强对肺癌的宣传教育工作，提高群众的预防意识，健康生活方式，推行控烟条例。关键词：肺癌，经济负担，医疗保险4华中科技大学硕士学位论文ABSTRACTPurposeThepurposeofthisstudyistounderstandthefinancialburdenofthediseasestatusofpatientswithlungcancer,analysisofmedicalsecuritysystemtoalleviatethefinancialburdenofpatientswithlungdisease,therole,fortherationalallocationoflimitedhealthadministrativedepartmentsofhealthresources,controlandreducetheeconomicburdenofdisease,providethescientificbasisforfurtherimprovementofthemedicalsecuritysystemforreference.DatasourcesandmethodsSource:Basedontheprincipleofrandomsampling,inCancerHospitalinformationsystemsofHubei,communityinformationonlungcancerpatientswererandomlyselectedand,inaccordancewiththeextentof100peopleselectedasthehouseholdsurveysample.Methodsinclude:(1)literature:theeconomicburdenofdisease,cancer,cost,medicalexpenses,thecostofmedicalinsuranceforthekeywords,bydomesticandforeignperiodicalliteraturenettocollectinformationontheresearchmethodswereanalyzed.(2)on-siteinvestigation:includingquestionnairesandunstructuredinterviews.Patientswithlungcancerquestionnaire,mainlysocio-economicconditionsforthelungcancerpatients,thefirstsixmonthsafterdischargefromhospital(includingthefirsthospital)reimbursementforout-patientandhospitalizationfees,transportation,escortfees,payments,purchasetheirowndrugcostsandthemaincareofthesocio-economicstatusofcaregiversofpatientsspenttimeandmoneyaswellasvariousindirectburden.Non-structuralinterview:Theinterviewaboutthefamilygotsickwithlungcancerbeforeandafterthequalitystandardoflivingchanges,understandtheircurrentleveloffees,healthinsurancepoliciesandreimbursementlevelsofview,listentotheirsuggestions.(3)statisticalmet