青少年伤害住院患者直接经济负担趋势性分析  

Trend in direct economic burden of injuries among adolescents

作　　者：周巧玲[1] 白亚娜[1] 胡晓斌[1] 万学中 赵迟[1] 刘磊[1] 

机构地区：[1]兰州大学公共卫生学院流行病与卫生统计学研究所,甘肃兰州730000 [2]甘肃省中医学院

出　　处：《中国公共卫生》2011年第9期1113-1115,共3页Chinese Journal of Public Health

摘　　要：目的了解青少年伤害住院患者的伤害类型及其直接经济负担趋势性变化,为制定伤害的干预措施提供科学依据。方法对甘肃省整群抽取的2所综合医院1994-2008年收治的3 407例青少年伤害住院患者的住院费用情况进行回顾性分析。结果 1994-2008年3 407例青少年伤害住院患者中,交通事故、暴力事件、自然环境、意外跌落和其他伤害分别占28.12%、19.90%、16.11%、24.04%和11.83%;不同年份伤害类型比较,差异有统计学意义(H=10.90,P<0.05);1994-2008年交通事故、暴力事件、自然环境、意外跌落和其他伤害例均住院费用增长速度分别为9.50%、13.70%、11.50%、15.43%和13.58%;日均住院费用增长速度分别为13.96%、16.16%、14.37%、14.64%和19.17%;例均住院费用中医疗服务费、药费、检查费、治疗费、手术费和其他费用分别占3.87%、32.44%、11.24%、15.50%、18.37%和18.58%;增长速度分别为16.14%、12.87%、16.81%、3.16%、26.65%和10.54%。结论青少年伤害住院患者的经济负担较重且呈逐年增长趋势;住院费用以药费和手术费为主,以手术费和检查费增长速度最快。Objective To explore the type of injury and the change trend of direct economic burden among adolescent injury inpatients and to provide scientific basis for making injury intervention measure. Methods Adolescent injury hospitalization records in two hospitals from 1994 - 2008 were collected and analyzed. Results Among the 3 407 adolescent injury inpatients,the ratio of traffic accident, violence, natural environment accident, accidental fall, and other injuries was 28. 12%, 19.90%, 16. 11%, 24.04%, and 11.83%, respectively, with significant differences among different years （H = 10. 90,P 〈 0. 05 ）. From 1994 - 2008, the growth rate of hospitalization costs were 9. 50%, 13.70%, 11.50%, 15.43%, and 13.58% and the average growth rate of dally hospitalization costs were 13.96%, 16. 16%, 14. 37%, 14. 64%, and 19. 17 %, respectively, for traffic accident, violence, natural environment accident, accidental fall, and other in- juries. The cost of medical service, medicine, examination, treatment, operation, and other items accounted for 3.87%, 32. 44% ,11.24%, 15.50% ,18. 37% ,and 18. 58% of the total cost,with the growth rates of 16. 14%, 12. 87%, 16. 81%, 3. 16% ,26. 65% ,and 10. 54% ,respectively. Conclusion The direct economic burden of adolescent injury hospitalization was heavy and increased year by year. The economic burden comes mainly from costs of medicine and surgery with a rapid increase in costs of surgery and examination.

关 键 词：直接经济负担 伤害 住院患者 青少年 趋势性分析 

分 类 号：R179[医药卫生—妇幼卫生保健]