本文關(guān)鍵詞： 慢性非傳染性疾病(慢性病) 患病率 疾病經(jīng)濟負擔(dān)　出處：《中國公共衛(wèi)生》2014年01期 　論文類型：期刊論文

【摘要】：目的分析中國8個社區(qū)衛(wèi)生綜合改革典型城市居民慢性非傳染性疾病(慢性病)患病率和前10位慢性病患者年平均經(jīng)濟負擔(dān),確定疾病干預(yù)的優(yōu)先級,為慢性病控制政策的制定提供循證依據(jù)。方法收集2011年7—10月杭州、合肥、武漢、成都、無錫、銅陵、寶雞和石河子等8個典型城市居民的健康詢問調(diào)查數(shù)據(jù),應(yīng)用二步模型法和人力資源法分別計算疾病的直接經(jīng)濟負擔(dān)和間接經(jīng)濟負擔(dān)。結(jié)果 8個典型城市居民慢性病患病率為325.2‰;患病率居于前10位的慢性病依次為高血壓(161.7‰)、糖尿病(49.3‰)、冠心病(16.2‰)、腦血管病(10.8‰)、慢性胃腸炎(7.3‰)、慢性阻塞性肺部疾病(6.3‰)、類風(fēng)濕性關(guān)節(jié)炎(6.1‰)、椎間盤疾病(4.8‰)、惡性腫瘤(3.6‰)和膽結(jié)石膽囊炎(3.6‰),上述疾病患者的年平均疾病經(jīng)濟負擔(dān)依次為2 677、4 726、7 825、21 688、6 341、8 843、8 871、15 448、60 401和7 443元;各類慢性病均以直接醫(yī)療費用經(jīng)濟負擔(dān)為主,且疾病經(jīng)濟負擔(dān)構(gòu)成不同,其中高血壓和糖尿病自我醫(yī)療藥品費用分別占直接醫(yī)療費用的55.0%和57.9%,而冠心病、腦血管病、慢性阻塞性肺部疾病、惡性腫瘤和膽結(jié)石膽囊炎住院費用所占比例均50%。結(jié)論典型城市居民的主要慢性病為高血壓、糖尿病和冠心病;慢性病對個人和家庭經(jīng)濟影響巨大,應(yīng)將健康納入所有政策以降低其巨額經(jīng)濟負擔(dān)。
[Abstract]:Objective to analyze the prevalence of chronic non-communicable diseases (NCDs) and the annual average economic burden of the top 10 chronic disease patients in the typical urban residents of 8 comprehensive community health reforms in China, and to determine the priority of disease intervention. Methods the survey data of 8 typical urban residents in Hangzhou, Hefei, Wuhan, Chengdu, Wuxi, Tongling, Baoji and Shihezi from July to October of 2011 were collected. The direct economic burden and indirect economic burden of disease were calculated by two-step model method and human resources method respectively. Results the prevalence rate of chronic diseases in 8 typical cities was 325.2 鈥，

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