CAJ | 학술논문

目的分析重庆市人群所患疾病的健康损失和经济损失负担,为制定疾病防控策略提供可靠的科学依据.方法采用伤残调整生命年(DALY)测量重庆市2010-2013年人群疾病的健康损失,以二步模型法计算直接经济负担,将DALY与人力资本法结合测算疾病的间接经济负担.结果2010-2013年重庆市DALY(/1 000人)损失分别为123.90、127.01、123.30和125.99.其中疾病负担模式以非传染性疾病为主(83％～87％),其次为损伤,最低的为传染性疾病.2010-2013年前五位疾病分类均为呼吸系统疾病、循环系统疾病、恶性肿瘤、意外伤害、精神神经疾病.2013年重庆市疾病总经济负担为1 621.34亿元,其中直接经济负担和间接经济负担分别为794.42亿元和826.92亿元,主要负担在循环系统疾病、呼吸系统疾病、损伤、恶性肿瘤和肌肉骨骼和结缔组织疾病等疾病.结论呼吸系统疾病、循环系统疾病、恶性肿瘤、损伤给重庆市居民带来了严重的健康和经济损失负担,应重点加强这些疾病的预防和控制.
목적 분석중경시인군소환질병적건강손실화경제손실부담,위제정질병방공책략제공가고적과학의거.방법 채용상잔조정생명년(DALY)측량중경시2010-2013년인군질병적건강손실,이이보모형법계산직접경제부담,장DALY여인력자본법결합측산질병적간접경제부담.결 과2010-2013년중경시DALY(/1 000인)손실분별위123.90、127.01、123.30화125.99.기중질병부담모식이비전염성질병위주(83％～87％),기차위손상,최저적위전염성질병.2010-2013년전오위질병분류균위호흡계통질병、순배계통질병、악성종류、의외상해、정신신경질병.2013년중경시질병총경제부담위1 621.34억원,기중직접경제부담화간접경제부담분별위794.42억원화826.92억원,주요부담재순배계통질병、호흡계통질병、손상、악성종류화기육골격화결체조직질병등질병.결론 호흡계통질병、순배계통질병、악성종류、손상급중경시거민대래료엄중적건강화경제손실부담,응중점가강저사질병적예방화공제.
Objective To analysis the burden of diseases (BOD) and economic burden of disease (EBOD) in Chongqing and provide scientific evidence for effective prevention and control of diseases.Methods The burden of diseases of Chongqing were estimated by use of disabilityadjusted life year (DALY) from 2010 to 2013,two-step method was used in the calculation of direct economic burden of diseases.DALY combined with the human capital method were used to measure the indirect economic burden.Results From 2010 to 2013,DALY loss by all causes for the residents in Chongqing were 123.90,127.01,123.30 and 125.99 person year per thousand persons,respectively.The diseases mainly included non-communicable diseases,accounting for 83％-87％,followed by injure and infectious diseases.The five leading diseases of BOD in Chongqing were respiratory system disease,circulatory system disease,malignant tumor,accidental death,neuropsychiatric disease,respectively.The total economic burden of diseases was 1 621.34 million yuan RMB in 2013.The direct and indirect economic burden of diseases were 794.42 million yuan RMB and 826.92 million yuan RMB,which could be attributed to circulatory system disease,respiratory system diseases,injury,malignant tumor and muscle bones and connective tissue diseases.Conclusion Respiratory system disease,circulatory system diseases,malignant tumor,and injury have caused heavy burden both in people' s health and economic status in Chongqing.It is necessary to take effective measures to prevent and control these diseases.