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OBJECTIVE:To construct the structure equation model for the burden of chronic disease inpatients in primary hos-pital before and after the implementation of zero price policy,and analyze the changes of burden factor loading. METHODS:6 pri-mary hospitals were randomly selected in Danyang,Jiangsu province. The data of hospitalization expenses for chronic diseases(hy-pertension,diabetes,bronchitis)were collected before and after the implementation of zero price policy. Using drug cost,nursing fees,inspection fees and treatment fees as independent variables,hospitalization burden as latent variable,SPSS and AMOS 24.0 software were adopted to establish the model. RESULTS:The burden factor loading of inpatients changed greatly before and after the implementation of zero price policy. χ2=24.586,χ2/df=1.446, RMSEA=0.019,GFI=0.995,AGFI=0.989,CFI=0.988,NFI=0.963 manifested good model fitting. Factor loading of drug cost increased greatly,indicating the burden of inpatients was reduced after the implementation of zero price policy. Factor loading of inspection fees and treatment fees increased significantly,the charac-terization effects of them to the burden of inpatients were enhanced. Factor loading of nursing fees was the lowest,and it had the weakest effects on the burden of inpatients,of which the government should enhance the regulation. CONCLUSIONS:Established model has good reliability and validity. It can reflect the change of burden factor loading of inpatients before and after the implemen-tation of zero price policy.
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Objective To know about the mental health of navy soldiers during long distant sailing and its influencing factors, and to put forward the effective preventive and treatment measures. Methods A questionnaire survey was conducted among 2 987 randomly chosen navy soldiers experiencing long distant sailing. The data collected included general situation, disease prevalence, utilization and cognition of mental health services and mental health state. The structure equation model was used to analyze the influencing factors. Results Totally 2 695 effective questionnaires were collected. Young males were the dominant participants, with a mean age of (25.0±4.3) years old and a mean period of military service of (5.9±4.3) years. It was showed that 76.8% (2 070/2 695) of the soldiers thought that they had no mental illness, 44.5% (1 200/2 695) of the soldiers admitted that they liked army life. The structure equation model analysis showed that the mental health of the navy soldiers was associated with the utilization of mental health service and the physical health was also related to the mental health. Conclusion The navy soldiers experiencing long distant sailing should make full use of the mental health service, and preventive intervention should be given to targeted population so as to improve the mental health of navy soldiers experiencing long distant sailing.