某钢铁企业尘肺患者直接医疗费用的分析  

Analysis of direct medical cost on pneumoconiosis patients with questionnaires in an iron ＆ steel enterprise

作　　者：邱兵[1] 李涛[1] 张敏[1] 王忠旭[1] 林菡[2] 舒平[2] 

机构地区：[1]中国疾病预防控制中心职业卫生与中毒控制所,北京100050 [2]鞍钢劳动卫生研究所

出　　处：《中华劳动卫生职业病杂志》2009年第4期203-206,共4页Chinese Journal of Industrial Hygiene and Occupational Diseases

基　　金：国家“十一五”科技支撑计划;职业危害预防控制关键技术与装备研究项目;高危职业危害监测预警与防治关键技术研究（2006BAK05802）

摘　　要：目的分析尘肺病例的直接医疗成本的组成、范嗣及分布，为进一步细化尘肺病单病种的医疗赔偿提供依据。方法以某钢铁企业尘肺患者医疗费用电子档案为基础，对不同伤残等级、工种、并发症的237例尘肺病例的医疗费用进行了问卷调查和统计分析。结果尘肺患者并发其他病症者161例，占67．9％，其中34例并发肺气肿，占有并发症者病例数的21．1％，年人均住院医疗费用6657.8元，伤残等级为四级的尘肺病例约占总病例数的55．7％，其年人均总医疗费用为3946．5～8819．3元，中位数为6954．2元。结论伤残等级在一定程度上可作为尘肺病赔偿的依据，尘肺并发肺气肿会增加尘肺患者的医疗费用。Objective To study the distribution of the direct medical cost for the pneumoconiosis and provide a clue for the compensation. Methods According to the electronic records for the medical cost of pneumoconiosis,237 patients were investigated with questionnaires. Their medical cost was described by disability levels, types of work, the categories of tuberculosis, ages and length of work. Results In the 237 cases of questionnaires, there were 161 cases with complications, accounting for 67.9%, and the proportion of the emphysema in the complication cases was 21.1%. The proportion of the disability level Ⅳ for pneumoconiosis patients was about 55.7% in all cases. Their total medical cost ranged from 3946.5 yuan RMB to 8819.3 yuan RMB per patient per year,and the median was 6954.2 yuan RMB per patient per year. Conclusion The disability levels can be considered as the standard for the pneumoconiosis compensation to a certain extent.

关 键 词：尘肺 医疗保险费用 保险赔偿费用 

分 类 号：R686[医药卫生—骨科学]