Investigation of the types of medical insurance and the key cardiovascular diseases among the residents in Tongnan, Chongqing City

Abstract

Objective To provide possible evidences for the medical reform by analyzing the survey data of medical insurance and key cardiovascular diseases among rural residents in Tongnan, Chongqing City. Methods The survey data, collected in Tongnan, Chongqing from Chinese important cardiovascular disease prevalence survey and key technology research which was a multi-stage stratified random sampling questionnaire survey research, was selected to discover the status of medical insurance, cardiovascular dis-eases and medical care among local residents through inputting the data by the Excel 2007 software and through generally descriptively analyzing the data by SPSS 17.0 statistical software. Results Of 1 035 resi-dents, male 534, female 501, total average age was (61.25±13.74)years old, the coverage rate of new rural cooper-ative medical insurance was 93.91% and commercial medical insurance was 0.39%; the total morbidity rate of hypertension or diabetes and both was 26.67% (276 patients). Within one year, 94.57% of the 276 patients were not hospitalized but were covered by the medical care and were followed up in the primary health institutions. And only the rest 15 ones (5.43%) were under hospitalization, among which 7 were in primary, 5 were in secondary and 3 were in tertiary medical care institutions; the average hospitalization frequency was 2.93 times in one year and 6.53 days for each time. The average hospitalization cost was 4 362 yuan each time for each patient after insurance reimbursement. Conclusion It was recommended to continue to implement the new rural cooperative medical insurance in rural areas, to promote the commer-cial medical insurance appropriately, to set up and carry out the hierarchical medical system and the first medical care in community, to adjust medical insurance reimbursement proportions and patterns, to strengthen the cultivation of general practitioners, to establish hospital supports and dual referral system. Key words: Medical insurance; Cardiovascular disease; Medical reform; Rural areas