Analysis on the Security Effect of Outpatients with Chronic Kidney Diseases under Basic Medical Insurance / 中国卫生经济

ABSTRACT

Objective:To analyze the health service utilization and burden on medical expenses of outpatients with chronic kidney diseases in Wuhan,to understand the security effects of patients with chronic kidney diseases under the basic medical insurance system,put forward suggestions to the development strategies and optimizing suggestions on strengthening the comprehensive management of chronic kidney diseases.Methods:Questionnaires were used to investigate 267 CKD outpatients of 6 first-class hospitals in Wuhan.Expert consultation method was used to interview the kidney doctors.Descriptive analysis method was used to analyze the utilization of health services,disease economic risk,catastrophic expenditure phenomenon and medicare satisfaction.Results:CKD patients had more frequent utilization of outpatient services,average outpatient expenditures of Urban Employer Medical Insurance outpatients were higher than the others,drug expenditures of New Rural Cooperative Medical System(NCMS) patients were significantly higher than the others.Most patients believed that the current medical outpatient policy could not meet the demand.Conclusion:More attention needed to be paid for NCMS,to strengthen prevention education and early management,improve the management of chronic kidney disease outpatient insurance policy.