The Economic Burden Among Essential Hypertensive Patients In Yinchuan City

Objective: To learn the economic burden of hypertensive patients and influence factors in Yinchuan community.Methods: This study was a cross-sectional study.3 districts or counties were randomly selected from 3 districts and 2 counties in Yinchuan City,then 8 community health service agencies were randomly selected from each district/county.A total of1915 patients in 24 agencies were as subjects of this study.Basic characteristics and economic burden information of hypertension in a questionnaire were obtained by face-to-face interview.The status of economic burden in hypertensive patients and their influence factors were analyzed.Result:1.In this study,there were more female(61.60%)and old people(>60 years,40.20%)and more retirees(53.70%).The biggest proportion of annual income,and largest proportion of hypertension duration and hypertension grade and complications respectively were below 50,000 yuan(82.80%)and below 5 years(47.70%)and the second grade of hypertension(41.50%)and with complications of hypertension(72.00%).The proportion of social insurance was the most(64.30%).2.The economic burden of hypertension was about ? 504 million Yuan.Further,the proportion of direct economic burden was 98.61%,and the proportion of inpatient costs were 41.50% in direct economic burden.3.Multiple linear regression analysis showed that some factors was influenced the different direct economic costs:(1)Outpatient costs: duration,the grade of hypertension,complications of hypertension,self-pay in medical insurance,public medical insurance and frequency of outpatient;(2)Inpatient costs: complications of hypertension and days of inpatient;(3)Self-purchased drug costs: duration,the grade of hypertension and frequency of self-purchased drug.Conclusion: The core of economic burden of hypertension was direct medicalcosts in Yinchuan.To control the economic burden of hypertension,we should pay attention to manage direct economic costs,especially inpatient costs.Secondly,we also should prevent the complications of hypertension,and control the frequency of outpatients and reduce days of inpatient.Finally,we should increase health education and reform of medical insurance payment methods.