煤工尘肺住院患者疾病负担及其影响因素分析

发布时间：2018-03-01 17:34

本文关键词： 煤肺病患病代价卫生保健费用伤残调整生命年　出处：《北京大学学报(医学版)》2014年02期 　论文类型：期刊论文

【摘要】：目的:调查煤工尘肺(coal worker’s pneumoconiosis,CWP)的疾病负担情况,探讨其影响因素,为制定减轻CWP疾病负担的卫生政策,最优化配置稀缺的医疗资源提供基线数据和量化分析结论。方法:选取2011年在某煤业集团职业病防治院住院的CWP患者为研究对象,调查其疾病负担。CWP住院患者的直接经济负担以住院期间总医疗费用和伙食营养补助表示,间接经济负担采用伤残调整生命年(disability adjusted life years,DALYs)结合人力资本法进行测算,并用DALYs全面衡量CWP的疾病负担,同时还分析了住院期间总医疗费用的影响因素。结果:194例CWP住院患者2011年直接经济负担467.70万元,人均24 108.05元,间接经济负担697.96万元,人均35 977.36元,因CWP损失的健康生命年为1 681.53年,人均健康生命年损失为(8.67±3.65)年。结论:CWP的医疗成本、间接成本及健康生命年损失是巨大的;产生较高医疗成本的主要影响因素是年龄和总住院天数,年龄越大,总住院天数越长,住院医疗费用越高;采取有效控制措施预防CWP发病是减少其疾病负担的关键。
[Abstract]:Objective: to investigate the disease burden of coal worker pneumoconiosis coal (worker's) and explore its influencing factors, in order to make the health policy to reduce the disease burden of CWP. To optimize the allocation of scarce medical resources to provide baseline data and quantitative analysis conclusions. Methods: CWP patients hospitalized in the Occupational Disease Prevention and Control Hospital of a coal industry group in 2011 were selected as the study objects. The direct economic burden of the inpatients was measured by the total medical cost and food nutrition subsidy during hospitalization, and the indirect economic burden was measured by the disability adjusted adjusted life years combined with the human capital method. The disease burden of CWP was comprehensively measured by DALYs, and the influencing factors of total medical expenses during hospitalization were also analyzed. Results in 2011, the direct economic burden of four million six hundred and seventy-seven thousand yuan, the average per capita 24 108.05 yuan, and the indirect economic burden of six million nine hundred and seventy-nine thousand and six hundred yuan of four million six hundred and seventy-seven thousand% CWP inpatients were analyzed. The health life years lost by CWP were 168.53 years and 8.67 卤3.65 years respectively. Conclusion the medical cost, indirect cost and annual loss of health life of CWP are huge. The main influencing factors of higher medical cost are age and total hospitalization days, the older the age, the longer the total hospitalization days, the higher the hospitalization cost, and the more effective control measures are taken to prevent the onset of CWP is the key to reduce its disease burden.
【作者单位】：北京大学公共卫生学院劳动卫生与环境卫生学系;河南省职业病防治研究院;中国平煤神马集团职业病防治院;
【分类号】：R135.2

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