关键词: 基本医疗保险制度, 高血压, 卫生服务研究

Abstract: Objective　To explore the use of health services in hypertensive patients participating in 4 different types of basic medical insurance 〔urban employee basic medical insurance（UEBMI），urban resident basic medical insurance（URBMI），new rural cooperative medical scheme（NRCMS），and urban and rural residents' basic medical insurance（URRBMI）〕.Methods　The data were derived from the monitored results of healthcare utilization among residents，a pilot survey initiated by the Statistics Information Center，National Health and Family Planning Commission of the PRC from July to December 2016.We enrolled 1 595 hypertensive patients who enjoyed 4 different types of basic medical insurance，and collected and compared their data concerning sociodemographic characteristics，prevalence of disease，and utilization of health services during the consecutive six-month monitoring period.Results　Among the participants，1 565（98.1%） enrolled in the basic medical insurance，including 896 enjoying UEBMI，88 enjoying URBMI，467 enjoying NRCMS and 114 enjoying URRBMI.The rate of seeking healthcare，rate of requiring treatment but receiving no treatment，length of stay differed significantly between the groups（P<0.05）．Moreover，the average outpatient treatment cost，average amount of self payment for outpatient treatment，average inpatient treatment cost，average amount of self payment for inpatient treatment varied obviously between the groups（P<0.05）．Furthermore，4 groups showed significant differences in the choice of medical institutions during seeking outpatient treatment（P<0.05）．In particular，the rate of seeking outpatient treatment in grassroots medical institutions for participants enjoying UEBMI，URBMI，NRCMS and URRBMI was 47.7%（299/627），68.5%（37/54），84.6%（154/182），78.4%（29/37），respectively，with significant differences（P<0.05）．However，the rate of receiving inpatient treatment as well as the choice of medical institutions for seeking inpatient treatment showed no significant differences between the groups（P>0.05）．Conclusion　The majority of hypertensive patients enrolled in the basic medical insurance.High level of utilization of health services was found in those enjoying UEBMI or URBMI，while the level of utilization of health services should be improved in those enjoying NRCMS and URRBMI.Hypertensive patients enjoying UEBMI demonstrated lower rate of seeking healthcare in grassroots medical institutions.

Key words: Basic medical insurance system, Hypertension, Health services research