城市地区肺癌经济负担影响因素分析

发布时间：2018-05-16 03:37

本文选题：肺癌 + 经济负担　；参考：《中国公共卫生》2017年08期

【摘要】：目的分析不同特征肺癌患者的疾病经济负担,探讨其影响因素,为相关政策制定提供科学依据。方法通过哈尔滨市南岗区疾病预防控制中心的肿瘤登记信息系统,找出其下辖的10个社区中在2010—2014年主要诊断为肺癌的存活病例资料,剔除失访病例,对最终纳入的195例患者进行回顾性问卷调查,应用SPSS 18.0软件对肺癌的经济负担及其影响因素进行统计描述,单因素方差分析和多重回归分析。结果不同婚姻状况、教育程度、家庭人均收入及医疗保险类型的肺癌患者,其总经济负担的对数值差异有统计学意义(P0.05);已婚/同居患者的总经济负担为(167 052.63±161 064.79)元,是其他婚姻状况患者[(93 343.90±65 745.69)元]的1.79倍;随着患者受教育程度和家庭人均收入的提高,总经济负担均呈上升趋势;参加城镇职工医疗保险的肺癌患者总经济负担最高,为(181 866.35±165 885.28)元,无医保患者的最低,为(77 698.64±72 372.87)元;多因素分析显示,患者的婚姻状况、家庭人均收入和医疗保险类型是肺癌患者经济负担的主要影响因素。结论应重点关注影响肺癌经济负担的主要因素,提高低收入人群和无医保人群的卫生服务利用可及性,完善社会各种保障制度,切实减轻肺癌患者的经济负担。
[Abstract]:Objective to analyze the economic burden of lung cancer patients with different characteristics and explore the influencing factors to provide scientific basis for making relevant policies. Methods through the cancer registration information system of disease prevention and control center in Nangang District of Harbin City, the survival data of lung cancer were found out in 10 communities under its jurisdiction from 2010 to 2014, and the missing cases were excluded. A retrospective questionnaire survey was conducted in 195 patients with lung cancer. The economic burden of lung cancer and its influencing factors were described by SPSS 18.0 software. The univariate ANOVA and multiple regression analysis were used to analyze the economic burden of lung cancer. Results there were significant differences in the total economic burden of lung cancer patients with different marital status, educational level, family income per capita and medical insurance, and the total economic burden of married / cohabiting patients was 052.63 卤16604.79 yuan. It was 1.79 times that of other marital status patients [93 343.90 卤65 745.69 yuan]; with the increase of patients' education level and family income per capita, the total economic burden showed an upward trend; the total economic burden of lung cancer patients who participated in medical insurance for urban workers was the highest. 866.35 卤165,885.28 yuan and 77 698.64 卤72 372.87 yuan were the lowest in the patients without medical insurance. Multivariate analysis showed that marital status, family income per capita and type of medical insurance were the main factors influencing the financial burden of patients with lung cancer. Conclusion We should focus on the main factors affecting the economic burden of lung cancer, improve the availability of health services for low-income and uninsured people, improve the social security system, and effectively reduce the economic burden of lung cancer patients.
【作者单位】：哈尔滨医科大学公共卫生学院;四川大学华西公共卫生学院;美国加州大学伯克利分校;
【基金】：国家自然科学基金重点项目(71333003) 美国国家卫生研究院资助项目(R01TW009295) 教育部人文社会科学研究项目(13YJCZH259)
【分类号】：R181.3;R734.2

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