应用DALY结合人力资本法研究某三甲专科医院医院获得性重症肺炎的间接经济负担  

Indirect economic burden due to severe healthcare-associated pneumonia in a tertiary first-class specialty hospital by application of disability-adjusted life year and human capital method

作　　者：纪灏[1] 张静[1] 窦颖[1] 范小红[1] JI Hao;ZHANG Jing;DOU Ying;FAN Xiao-hong(Shanghai Chest Hospital,Shanghai Jiaotong University,Shanghai 200030,China)

机构地区：[1]上海交通大学附属胸科医院,上海200030

出　　处：《中国感染控制杂志》2018年第12期1055-1059,共5页Chinese Journal of Infection Control

摘　　要：目的应用伤残调整寿命年(DALY)结合人力资本法初步研究某三甲专科医院医院获得性重症肺炎(SHAP)患者的间接经济负担。方法按照全球疾病负担研究中计算DALY的方法,分别计算出某三甲医院2016年1月1日—2017年12月31日SHAP各年龄组患者DALY,再利用DALY与人力资本法结合估计SHAP患者的间接经济负担,并根据SHAP致病菌是否是多重耐药菌进行分组,比较两组患者间接经济负担。结果 71例SHAP患者,损失DALY 172. 35年,平均疾病负担为2. 43 DALY,平均间接经济负担51 428. 37元。SHAP患者多重耐药菌感染组(46例)、非多重耐药菌感染组(25例)平均疾病负担分别为3. 36、0. 71 DALY,平均间接经济负担分别为77 235.32、3 957. 18元;两组SHAP患者平均间接经济负担比较,差异有统计学意义(P <0. 05)。结论 SHAP患者平均疾病负担及间接经济负担均不低,其中SHAP患者多重耐药菌感染的间接经济负担高于非多重耐药菌感染。Objective To evaluate the indirect economic burden of patients with severe healthcare-associated pneumonia(SHAP)in a tertiary first-class specialty hospital through combined application of disability-adjusted life year(DALY)and human capital method.Methods According to DALY calculating method in the study of Global Burden of Disease(GBD),DALY of SHAP patients of each age group in a tertiary first-class hospital from January 1,2016 to December 31,2017 was calculated,the indirect economic burden of SHAP patients was estimated by combining DALY with human capital method,patients were divided into two groups according to whether pathogens were multidrug-resistant organisms(MDROs),indirect economic burden of two groups of patients was compared.Results Among 71 SHAP patients,loss of DALY was 172.35 years,the average disease burden was 2.43 DALY,the average indirect economic burden was 51 428.37 Yuan.The average disease burden in SHAP patients in MDRO infection group(n=46 cases)and non-MDRO infection group(n=25 cases)were 3.36 and 0.71 DALY respectively,the average indirect economic burden were 77 235.32 and 3 957.18 Yuan respectively;difference in indirect econo-mic burden between two groups of patients was statistically significant(P<0.05).Conclusion The average disease burden and indirect economic burden of SHAP patients are not low,and indirect economic burden in SHAP patients with MDRO infection is higher than those with non-MDRO infection.

关 键 词：医院感染 医院获得性重症肺炎 间接经济负担 伤残权数 多重耐药菌 

分 类 号：R197.1[医药卫生—卫生事业管理] R567.19[医药卫生—公共卫生与预防医学]