2016年山东省职业病住院患者疾病负担及其影响因素的研究  被引量:10

Study on disease burden and its influencing factors of hospitalized patients with occupational diseases,Shandong province,2016

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作  者:李红梅[1] 李侠[1] 邹建芳[1] 白金[1] 

机构地区:[1]山东省职业卫生与职业病防治研究院,山东济南250002

出  处:《预防医学论坛》2017年第6期421-424,427,共5页Preventive Medicine Tribune

基  金:山东省医学科学院院级科技计划项目(编号:2015-66);项目名称:职业病患者生活质量;疾病负担及相关因素研究;项目类别:青年基金项目

摘  要:目的了解职业病住院患者的疾病负担情况,探讨疾病负担的影响因素,为制定减轻疾病负担的卫生政策提供相应理论依据。方法 2016年3月采用整群抽样方法,选取山东省4家医院职业病科255例住院职业病患者为研究对象,进行一般情况(包括伤残等级)问卷搜集,调查疾病负担。结果住院患者直接经济负担平均每人每年(88 562±61 760)元。伤残调整生命年(DALY)(12.95±8.08)人年。社会平均间接经济损失为(367 586±229 618)元。Ⅱ、Ⅲ期尘肺患者直接经济负担高于Ⅰ期患者(P<0.01)。高伤残等级职业病患者直接经济负担高于低伤残等级患者(P<0.01)。有合并症患者流行病学负担高于无合并症患者(P<0.01)。职业病患者的直接经济负担的主要影响因素为住院天数、陪护人员的情况、营养费、疾病程度(尘肺分期及中毒分度)(P<0.01)。职业病患者流行病学负担的影响因素主要为年龄、肺功能、陪护人员情况(P<0.01、<0.05)。结论职业病患者疾病负担随着经济水平的发展有增加趋势。减轻职业病患者疾病负担,重点在调整职业病患者的住院管理制度,加强规范化治疗。Objective To understand the burden of disease among in-patients with occupational diseases,explore the influencing factors of disease burden,so as to provide theoretic basis for the development of health policies to reduce the burden of disease. Methods In March 2015,a cluster sampling method was used to select 255 inpatients with occupational diseases in four hospitals of Shandong province.The general questionnaire(including the grade of disability)was collected and the burden of disease was investigated. Results The average annual direct economic burden of patients was 88 562±61 760Yuan/person/year.Disability-adjusted life years(DALY)were 12.95±8.08person/year.The average social indirect economic losses were 367 586±229 618 Yuan.The direct economic burden of stage II and III pneumoconiosis patients were higher than that of stage I(P〈 0.01).The direct economic burden of patients with high levels occupational disability was higher than that of patients with low level disability(P〈 0.01).The epidemiological burden of patients with occupational diseases and complications was higher than that of those without complications(P〈 0.01).The main factors affecting the direct economic burden of patients with occupational diseases were days in hospital,nursing staff,nutrition fees,the extent of disease(pneumoconiosis stage and poisoning indexing)(P〈 0.01).The main epidemiological burden influencing factors were age,lung function and accompanying persons(P〈 0.01or0.05). Conclusion There is an increasing trend in disease burden among patients occupational diseases with the economic development.The focuses for the disease burden reduction among patients with occupational diseases should be the adjustment of hospital management and strengthening of standard treatment.

关 键 词:职业病 直接经济负担 间接疾病负担 流行病学负担 

分 类 号:R135.2[医药卫生—劳动卫生]

 

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