广东省某三级甲等妇幼保健院乳腺癌患者直接和间接疾病经济负担分析  

Analysis of Direct and Indirect Diseaseeconomic Burden of Guangdong Province,A Third Grade Class-A Maternal and Child Health Hospital Breast Cancer Patients

作　　者：林华照[1] 周偲[1] 李丽云[2] 缪华章[3] 连臻强[4] 吴伟霞[5] 

机构地区：[1]广东省妇幼保健院科教科,广东广州511442 [2]广东省妇幼保健院儿科,广东广州511442 [3]广东省妇幼保健院保健部,广东广州511442 [4]广东省妇幼保健院乳腺中心,广东广州511442 [5]广东省妇幼保健院产科,广东广州511442

出　　处：《中国卫生标准管理》2016年第10期5-7,共3页China Health Standard Management

基　　金：2014年广东省公益研究与能力建设专项资金项目<基于超声检查的乳腺癌筛查模式的卫生经济学评价及优化研究>(项目编号2014A020212590);2013年广东省卫生经济学会<基于超声检查的乳腺癌筛查模式的卫生经济学研究>(专题编号20130204-04)资助

摘　　要：目的了解乳腺癌患者直接与间接疾病经济负担现状。方法选取广东省某三级甲等妇幼保健院2010年1月~2015年8月收治乳腺癌住院患者,收集患者的临床资料与医疗费用数据,进行回顾性分析。结果 1 946例患者中41~50岁患者最多,31~40岁次之,且患者乳腺癌病情主要以I期和II期为主。乳腺癌0期与Ⅰ期患者年人均直接疾病经济负担低于Ⅱ期、Ⅲ期、Ⅳ期者（P〈0.05）,≥60岁患者年人均间接疾病经济负担低于〈60岁者（P〈0.05）。结论乳腺癌患者直接与间接疾病经济负担沉重。且病情（分期）越重,直接经济负担越重。应及早诊断乳腺癌,以减轻患者经济负担。Objective To understand the economic burden of directly and indirect with cancer patients. Methods Chose breast cancer patients of a three level MCH in guangdong province from January 2010 to August 2015,clinical data of patients and the medical cost data were retrospectively analyzed. Results Up to 1946 cases in patients aged 41 to 50 patients,31 to 40 years,followed by patients with breast cancer and the disease mainly I and II based. 0 breast cancer patients with stage Ⅰ and economic burden of disease directly below the annual per capita stage Ⅱ,Ⅲ period,Ⅳ period were（P〈0.05）,≥ 60 years per capita indirect economic burden of patients with the disease in less than60 years of age（P〈0.05）. Conclusion Breast cancer patients disease economic burden of directly and indirect. And disease（staging）the more severe,the more severe the direct economic burden. It should be early diagnosis of breast cancer,in order to reduce the financial burden of patients.

关 键 词：乳腺癌 直接 间接 疾病经济负担 分析 

分 类 号：R18[医药卫生—流行病学]