山东省恶性肿瘤经济负担分析  

Economic burden of malignant neoplasms in Shandong province

作　　者：郭晓雷[1] 孙建东[2] 马吉祥[1] 张吉玉[1] 付振涛[1] 鹿子龙[1] 李维卡[1] 徐爱强[1] 

机构地区：[1]山东省疾病预防控制中心慢性非传染性疾病防制所,济南250014 [2]山东大学公共卫生学院

出　　处：《中国公共卫生》2010年第7期813-816,共4页Chinese Journal of Public Health

摘　　要：目的评价山东省恶性肿瘤经济负担,为卫生决策提供科学依据。方法以2006年山东省第3次死因回顾抽样调查资料和2007年山东省恶性肿瘤现患状况抽样调查资料为基础,测算全省直接医疗成本;采用人力资本法测算死亡间接负担和伤残间接负担;参考全球疾病负担研究的方法对测算结果的不确定性进行分析。结果 2006年山东省因恶性肿瘤导致的总经济负担为180.57亿元(95%CI=16817～19393),占全省GDP总量的0.83%,其中直接医疗成本占总负担的17.28%,死亡造成的间接经济负担占78.53%,伤残所致间接经济负担占4.20%;肝癌、肺癌和胃癌为山东省经济负担最重的3种恶性肿瘤,总经济负担合计占全部恶性肿瘤的57.83%;总经济负担估计结果的不确定性范围在±7%左右,主要取决于间接经济负担的不确定性。结论恶性肿瘤对社会经济的影响主要通过生产力的损失产生作用,并以死亡所致生产力损失为主;肝癌、肺癌和胃癌应是山东省恶性肿瘤预防控制的重点。Objective To evaluate the economic burden of malignant neoplasms in Shandong province in order to provide scientific evidence for policy-making.Methods The main source for this study were the data from the third sampling survey of death cause in 2006 and cancer prevalence survey in 2007 in Shandong provice.The direct medical cost was calculated based on the survey data.The indirect cost due to mortlity and morbidity were estimated with human capital approach based on the data of disability-adjusted life years derived from the two surveys and gross domestic product（GDP） data.The total economic burden was the sum of direct medical cost and indirect cost.The uncertainty analysis was conducted according to the methodology in global burden of disease study.Results The total cost of cancer in Shandong province in 2006 estimated was 18 057 million Yuan RMB（95% confidence interval：16 817-19 393 million）,which accounted for 0.83% of the total GDP.The direct medical cost,indirect mortality cost and indirect morbidity cost accounted for 17.28%,78.53%,and 4.20% of total economic burden of malignant neoplasms,respectively.Liver,lung and stomach cancer were the top three tumors with heavier economic burden,with accounted for more than one half（57.83%） of the total economic burden of all cancers.The uncertainty of total burden estimated was around ± 7%,which mainly derived from the uncertainty of indirect economic burden.Conclusion The influence of cancers on social economy is dominated by the loss of productivity,especially by the productivity loss due to premature death.Liver,lung and stomach cancer are the major cancers for disease control and prevention in Shandong province.

关 键 词：恶性肿瘤 经济负担 直接经济负担 间接经济负担 

分 类 号：R197[医药卫生—卫生事业管理]