CAJ | 학술논문

目的了解浙江省城乡人群目前腹泻病经济负担现状.方法采用分层多阶段随机整群抽样方法抽取调查对象,共4次入户调查了解其2周内腹泻病发生情况、临床表现、就诊情况以及因腹泻病产生的各类费用等.结果腹泻病年发病率0.26次/人年,其中农村为0.29次/人年,高于城市的0.22次/人年,5岁以下儿童腹泻病年发病率为0.66次/人年,远高于其他年龄组.腹泻病人次均直接医疗费用、直接非医疗费用和间接费用分别为69.23元、8.29元和48.43元.估算全省年均腹泻病总经济负担为16.97亿元,约占全省年生产总值的1‰;其中直接医疗费用8.86亿元(52.21%),直接非医疗费用1.24亿元(7.31%),间接费用6.87亿元(40.48%);农村12.17亿元(71.71%),城市4.80亿元(28.29%).病情严重程度、医疗保险、城乡、年龄、文化程度等多种因素影响腹泻病的经济负担.结论浙江省城乡5岁以下儿童腹泻病发病率较高;低收入群体腹泻病经济负担较重.
목적 료해절강성성향인군목전복사병경제부담현상.방법 채용분층다계단수궤정군추양방법추취조사대상,공4차입호조사료해기2주내복사병발생정황、림상표현、취진정황이급인복사병산생적각류비용등.결과 복사병년발병솔0.26차/인년,기중농촌위0.29차/인년,고우성시적0.22차/인년,5세이하인동복사병년발병솔위0.66차/인년,원고우기타년령조.복사병인차균직접의료비용、직접비의료비용화간접비용분별위69.23원、8.29원화48.43원.고산전성년균복사병총경제부담위16.97억원,약점전성년생산총치적1‰;기중직접의료비용8.86억원(52.21%),직접비의료비용1.24억원(7.31%),간접비용6.87억원(40.48%);농촌12.17억원(71.71%),성시4.80억원(28.29%).병정엄중정도、의료보험、성향、년령、문화정도등다충인소영향복사병적경제부담.결론 절강성성향5세이하인동복사병발병솔교고;저수입군체복사병경제부담교중.
Objective To study the status on economic burden of diarrhea in Zhejiang province so as to provide evidence for allocation of health resource as well as decision-making on health issues. Methods Multi-phases stratified random cluster sampling was used to select samples in the population. Data was collected on the incidence of diarrhea in the last two weeks as well as on the related cost due to medical care etc. Results The overall incidence (person per year) of diarrhea was 0.26, with 0.29 in the rural and 0.22 in the urban areas respectively. The incidence of diarrhea in children less than 5 was 0.66 (person per year), higher than in any of the age groups. The average direct cost of medical treatment was 69.23 Yuan with average direct cost of non-medical care was 8.29 Yuan for every person, while the indirect cost was 48.43 Yuan. in conclusion, the average disease burden of diarrhea in the province was 1.697 billion Yuan per year, which accounted for 1%o of the GDP, with 1.217 billion Yuan in rural area and 0.480 billion Yuan in the urban areas respectively. The direct cost of medical care was 0.886 billion Yuan (52.21%) and the direct cost due to non-medical care was 0.124 billion Yuan (7.31%). The indirect cost appeared to be 0.480 billion Yuan (40.48%). Factors that affecting the cost would relate to: severity of diarrhea, medical insurance, location of residential area, age and education background of the patients, etc. Conclusion Programs on diarrhea prevention and control should be strengthened to reduce the economic burden caused by this disease while special attention should be paid to those children who are under 5 years of age and living in the rural areas.