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.