CAJ | 학술논문

目的：探讨不同医疗保险模式下高血压患者之间血压控制现况的差距。方法：对北京9家医院门诊高血压患者进行了横断面调查，应用单因素与多因素Logistic分析比较了不同医疗保险模式下高血压患者之间血压水平和达标情况。结果：公费医疗、职工基本医疗保险高血压患者的血压控制情况较好，无保险以及新农合患者的血压控制情况较差。结论：医疗保险模式是影响高血压患者血压达标的独立因素。适当提高“弱势群体”患者的医疗保险门诊补偿水平，将有助于控制全社会高血压患者血压的总体水平，这对预防心血管事件的发生与发展有积极的意义。
목적：탐토불동의료보험모식하고혈압환자지간혈압공제현황적차거。방법：대북경9가의원문진고혈압환자진행료횡단면조사，응용단인소여다인소Logistic분석비교료불동의료보험모식하고혈압환자지간혈압수평화체표정황。결과：공비의료、직공기본의료보험고혈압환자적혈압공제정황교호，무보험이급신농합환자적혈압공제정황교차。결론：의료보험모식시영향고혈압환자혈압체표적독립인소。괄당제고“약세군체”환자적의료보험문진보상수평，장유조우공제전사회고혈압환자혈압적총체수평，저대예방심혈관사건적발생여발전유적겁적의의。
Objectives :To compare the blood pressure control in out-patients under the different medical insurance .Methods :1046 hypertension patients who had complete data from 9 hospitals were recruited in Beijing .The differences of the control of hypertension were analyzed between types of medical insurance ,u-sing the univariate and multivariate logistic regression methods . Results:Hypertension out-patients with Government medical care and Urban Employees Basic Medical Insurance had better condition in blood pres-sure ,but patients with no insurance and Urban Residents Basic Medical Insurance had poorly controlled in blood pressure .Conclusion:Medical insurance were associated with the control rate of hypertension .We should improve medical insurance level actively ,contributing to develop the control rate of blood pressure in hypertensive patients .