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近年来卫生经济学方法被较多地应用于疾病防治措施的评价,但疾病间接费用的计算方法尚有争议。笔者利用获得的病毒性肝炎病人经济费用调查资料,分别用不同方法计算了疾病的间接费用,以进行对比和评价。因病误工费分别按以下方法计算:(1) 病休天数乘以患者所在地(县或市)的人均国民收入,称人均国民收入法。(2) 患者若为非劳动力,病休天数乘以当地人均国民收入;若为劳动力,则病休天数乘以当地每劳平均国民收入,称按劳国民收入法。(3) 国家职工用病休天数乘以日均工资,农民为病休天数乘以每劳日纯收入(劳动力)或人均日纯收入(非劳动力),享受商品粮但非职工者为病休天数乘以人均国民收入。称综合计算法。陪视人误工费的计算基本同上。因病死亡损失
In recent years, the method of health economics has been more widely used in the evaluation of disease prevention and control measures, but the calculation method of disease indirect costs is still controversial. Using the data obtained from the survey of economic costs of patients with viral hepatitis, the author used different methods to calculate the indirect costs of the disease to compare and evaluate. The cost of lost work due to illness was calculated as follows: (1) The number of sick days was multiplied by the per capita national income of the patient’s location (county or city), and the per capita national income method was used. (2) If the patient is non-labour, the number of sick days multiplied by the local per capita national income; if it is labor, the number of sick days multiplied by the local average national income per worker, according to the labor national income law. (3) Multiply the number of employee days of sickness multiplied by the average daily wage. The number of sick days is multiplied by the net income per employee per day (labour) or per capita net income (non-labour). The person who enjoys commodity grain but who is non-employees is multiplied by the number of sick days per person. national income. Called the comprehensive calculation method. The calculation of the fee-for-paid work of the person accompanying the person is basically the same as above. Death due to illness