农村居民常见肿瘤直接经济负担趋势的调查分析  

Investigation and Prediction of Direct Economic Burden Caused by Common Tumors among Rural Residents

作　　者：唐丹华[1] 白亚娜[1] 胡晓斌[1] 史晓媛[1] 谭姣[1] 高娟[1] 杨爱民[1] 刘鹏[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,甘肃省兰州市730000

出　　处：《中国全科医学》2012年第4期434-435,442,共3页Chinese General Practice

摘　　要：目的了解农村居民四种常见肿瘤的直接经济负担及趋势,探讨影响农村居民肿瘤患者经济负担的因素,为有效控制农村居民的医疗费用提供科学依据。方法抽取甘肃省某三甲综合医院和肿瘤专科医院1996—2006年农村居民中四种常见恶性肿瘤患者的病案资料,并进行调查分析。结果 (1)1996—2006年农村居民四种常见肿瘤人均住院费用依次为:胃癌6 703.34元,肝癌4 568.48元,肺癌4 555.72元,食管癌7 302.10元;食管癌人均住院费用的年估计百分比变化(EAPC)最大,为16.30%。预测至2013年,食管癌的人均住院费用达到最高,为42 287.93元;其次是胃癌,为20 518.51元;肝癌位于第三位,为20 090.24元;最后是肺癌,为11 458.53元。(2)肝癌患者的日均住院费用最高,为627.35元;食管癌的日均费用平均增长速度最快,为15.26%。预测至2013年,肝癌的日均住院费用达到最高,为2 333.9元;其次是食管癌,为1 947.25元;胃癌位于第三位,为1 836.71元;最后是肺癌,为983.25元。结论农村居民消化道恶性肿瘤的直接经济负担沉重,增长趋势明显;应加强农村居民的肿瘤防治工作,提高农村居民的生活质量。Objective To investigate and predict the direct economic burden caused by four common malignant rumors among rural residents and to explore the affecting factors in order to provide scientific evidence for the control of medical cost. Methods Medical records of rural residents with the four common malignant tumors from a general hospital and a special hospital in Gansu Province between 1996 and 2006 were reviewed. Results （1） The average hospitalization expenses per capita between 1996 and 2006 were as follows： gastric cancer 6 703.34yuan, liver cancer 4 568. 48yuan, lung cancer 4 555.72yuan, esophageal cancer 7 302. 10yuan. The Estimated Annual Percentage Change （EAPC） of hospitalization expense of esophageal cancer was 16. 30%, the largest of all The hospitalization expense per capita of esophageal cancer was predicted to be 42 287.93 yuan by2013, the highest of all, followed by gastric cancer 20 518.51yuan, liver cancer 20 090.24yuan and lung. cancer 11 458. 53yuan. （2） The daily hospitalization expense of liver cancer was the highest, 627. 35yuan. The daily hospitalization expense increase rate of esophageal cancer was the highest, 15.26%. It was predicted that the daily hospitalization expense of liv- er cancer would reach the highest 2 333.9yuan by 2013, followed by esophageal cancer 1 947. 25yuan, gastric cancer 1 836. 71 yuan and lung cancer 983, 2.Syuan. Conclusion Digestive tract cancers caused heavy direct economic burden which shows a strong upward trend. Cancer prevention and treatment should be reinforced in rural areas so as to improve the life quality of rural residents.

关 键 词：农村居民 恶性肿瘤 直接经济负担 

分 类 号：R19[医药卫生—卫生事业管理]