CAJ | 학술논문

目的评价1993-2008年中国脑血管病直接经济负担状况及其变化趋势.方法利用1993、1998、2003和2008年4次国家卫生服务调查数据,采用二步模型法推算中国1993-2008年≥30岁人群脑血管病直接经济负担及其变化情况,包括脑血管病直接门诊费用和直接住院费用.结果 1993-2008年中国≥30岁人群脑血管病直接经济负担明显上升,从1993年的84.73亿元上升至2008年的1 031.25亿元,去除物价影响后,实际增长了5.3倍,年均增速为13.1％,高于同期卫生总费用和GDP的增长速度,其中2003-2008年直接经济负担的增长速度最快,年均增速为19.8％.结论中国≥30岁人群脑血管病疾病负担给个人和社会造成的影响已相当严峻,应加强对脑血管病相关领域的理论和实践研究.
목적 평개1993-2008년중국뇌혈관병직접경제부담상황급기변화추세.방법 이용1993、1998、2003화2008년4차국가위생복무조사수거,채용이보모형법추산중국1993-2008년≥30세인군뇌혈관병직접경제부담급기변화정황,포괄뇌혈관병직접문진비용화직접주원비용.결과 1993-2008년중국≥30세인군뇌혈관병직접경제부담명현상승,종1993년적84.73억원상승지2008년적1 031.25억원,거제물개영향후,실제증장료5.3배,년균증속위13.1％,고우동기위생총비용화GDP적증장속도,기중2003-2008년직접경제부담적증장속도최쾌,년균증속위19.8％.결론 중국≥30세인군뇌혈관병질병부담급개인화사회조성적영향이상당엄준,응가강대뇌혈관병상관영역적이론화실천연구.
Objective To evaluate the status and trend of direct economic burden on cerebrovascular disease,from 1993 to 2008 in China.Methods Using two-step model to calculate the economic cost with related trend of cerebrovascular disease within the population among the over 30-year-olds,from 1993 to 2008.Data was gathered from the National Health Service Surveys Analysis Reports of 1993,1998,2003 and 2008,that including both direct outpatient and inpatient cost.Results There appeared a significant increase on the burden of cerebrovascular diseases in the period of 15 years,with direct economic cost increasing from 8.473 billion to 103.125 billion RMB.In fact,the actual increase was 5.3 times,without the influence of the price.The average annual growth rate was 13.1％,exceeding the rate of total expenditure on health and GDP during the same time span.In addition,the growth rate in 2003-2008 was the fastest,which appeared to be 19.8％.Conclusion Burden that caused by cerebrovascular disease on individuals and the whole society was heavy which warrented further theoratical and practical studies on it.