本文選題：肺癌 + 經(jīng)濟(jì)負(fù)擔(dān)��； 參考：《中國公共衛(wèi)生》2017年08期

【摘要】：目的分析不同特征肺癌患者的疾病經(jīng)濟(jì)負(fù)擔(dān),探討其影響因素,為相關(guān)政策制定提供科學(xué)依據(jù)。方法通過哈爾濱市南崗區(qū)疾病預(yù)防控制中心的腫瘤登記信息系統(tǒng),找出其下轄的10個(gè)社區(qū)中在2010—2014年主要診斷為肺癌的存活病例資料,剔除失訪病例,對(duì)最終納入的195例患者進(jìn)行回顧性問卷調(diào)查,應(yīng)用SPSS 18.0軟件對(duì)肺癌的經(jīng)濟(jì)負(fù)擔(dān)及其影響因素進(jìn)行統(tǒng)計(jì)描述,單因素方差分析和多重回歸分析。結(jié)果不同婚姻狀況、教育程度、家庭人均收入及醫(yī)療保險(xiǎn)類型的肺癌患者,其總經(jīng)濟(jì)負(fù)擔(dān)的對(duì)數(shù)值差異有統(tǒng)計(jì)學(xué)意義(P0.05);已婚/同居患者的總經(jīng)濟(jì)負(fù)擔(dān)為(167 052.63±161 064.79)元,是其他婚姻狀況患者[(93 343.90±65 745.69)元]的1.79倍;隨著患者受教育程度和家庭人均收入的提高,總經(jīng)濟(jì)負(fù)擔(dān)均呈上升趨勢;參加城鎮(zhèn)職工醫(yī)療保險(xiǎn)的肺癌患者總經(jīng)濟(jì)負(fù)擔(dān)最高,為(181 866.35±165 885.28)元,無醫(yī)�；颊叩淖畹�,為(77 698.64±72 372.87)元;多因素分析顯示,患者的婚姻狀況、家庭人均收入和醫(yī)療保險(xiǎn)類型是肺癌患者經(jīng)濟(jì)負(fù)擔(dān)的主要影響因素。結(jié)論應(yīng)重點(diǎn)關(guān)注影響肺癌經(jīng)濟(jì)負(fù)擔(dān)的主要因素,提高低收入人群和無醫(yī)保人群的衛(wèi)生服務(wù)利用可及性,完善社會(huì)各種保障制度,切實(shí)減輕肺癌患者的經(jīng)濟(jì)負(fù)擔(dān)。
[Abstract]:Objective to analyze the economic burden of lung cancer patients with different characteristics and explore the influencing factors to provide scientific basis for making relevant policies. Methods through the cancer registration information system of disease prevention and control center in Nangang District of Harbin City, the survival data of lung cancer were found out in 10 communities under its jurisdiction from 2010 to 2014, and the missing cases were excluded. A retrospective questionnaire survey was conducted in 195 patients with lung cancer. The economic burden of lung cancer and its influencing factors were described by SPSS 18.0 software. The univariate ANOVA and multiple regression analysis were used to analyze the economic burden of lung cancer. Results there were significant differences in the total economic burden of lung cancer patients with different marital status, educational level, family income per capita and medical insurance, and the total economic burden of married / cohabiting patients was 052.63 鹵16604.79 yuan. It was 1.79 times that of other marital status patients [93 343.90 鹵65 745.69 yuan]; with the increase of patients' education level and family income per capita, the total economic burden showed an upward trend; the total economic burden of lung cancer patients who participated in medical insurance for urban workers was the highest. 866.35 鹵165,885.28 yuan and 77 698.64 鹵72 372.87 yuan were the lowest in the patients without medical insurance. Multivariate analysis showed that marital status, family income per capita and type of medical insurance were the main factors influencing the financial burden of patients with lung cancer. Conclusion We should focus on the main factors affecting the economic burden of lung cancer, improve the availability of health services for low-income and uninsured people, improve the social security system, and effectively reduce the economic burden of lung cancer patients.
【作者單位】： 哈爾濱醫(yī)科大學(xué)公共衛(wèi)生學(xué)院;四川大學(xué)華西公共衛(wèi)生學(xué)院;美國加州大學(xué)伯克利分校;
【基金】：國家自然科學(xué)基金重點(diǎn)項(xiàng)目(71333003) 美國國家衛(wèi)生研究院資助項(xiàng)目(R01TW009295) 教育部人文社會(huì)科學(xué)研究項(xiàng)目(13YJCZH259)
【分類號(hào)】：R181.3;R734.2

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