摘要
目的:探讨农村居民常见慢性病的疾病经济负担与经济风险。方法:以自填式调查问卷方法,对212名(心脑血管疾病患者156人,糖尿病患者56人)农村地区慢性病患者的最近一年疾病经济负担和经济风险进行调查,以多元回归模型对疾病经济风险的影响因素进行探讨。结果:心脑血管疾病患者的年人均收入为4352元,人均年医疗费用为1809元,其校正RR值为4.42。糖尿病患者的人均年收入为10508元,人均年医疗费用为11472元,校正RR值为11.61。将这2个疾病的数据合并,其人均年收入为6010元,人均年医疗费用为4361元,校正RR值为7.72。以LnRR为应变量进行多元回归分析,住院与否变量是惟一有统计学意义的自变量,其偏回归系数为1.86,P<0.01。结论:慢性病人群的疾病经济负担和风险较高,且糖尿病患者的经济负担和风险要远高于心脑血管疾病患者。慢性病患者的疾病经费风险的影响因素中住院与否是最主要因素。
Objective： analyzing the economics burden ＆ risk fo chronic diseases in country dwellers in China. Method： 212 choronic patients, including 156 cardiovascular diseases patients and 56 diabetics, were randomly selected and investigated for their economics burden of disease using questionnaires. The influence factors were studied using a multi- variable regression model. Results ： The average annual income for cardiovascular diseases patients is ￥4 352 and the average annual medical expenditure is ￥1 809. So its adjusted RR is 4.42. The average annual income for diabetics patientsis ￥10 508 and the average annual medical expenditure is ￥11 472. So its adjasted RR is 11.61. Getting the data of two kinds diseases merged, we get the average annual income is ￥6 010. The medical expenditure is ￥4 361 and the adjusted RR is 7.72. Taking Ln （RR） as corresponding variable to perform multi-variable regression analysis, we find the hospital or not is the only one variable significative. Conclusion： The economics burden and risk are high among country dewellers and the diabetics endure much more than cardiovascular diseases patients. And, being in hospital or not is the strongest influence factor to the economics risk.
出处
《中国卫生经济》
2007年第11期27-29,共3页
Chinese Health Economics
基金
国家自然科学基金资助(项目编号:70503001)。
关键词
慢性病
疾病经济负担和风险
农村居民
chronic disease, economics burden and risk, country inhabitants
