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目的:为进一步开展重大疾病对家庭经济影响的相关研究提供思路和借鉴。方法:利用文献综述方法,对描述重大疾病对家庭经济影响的中英文文献进行检索和分析。结果:目前相关研究常用的研究方法主要包括疾病费用分析,灾难性支出分析,粮食安全分析,构造多变量模型,以及研究家庭对疾病造成经济影响进行的应对策略分析。研究内容主要集中在艾滋病、结核、非传染性疾病等对于家庭经济的影响。结论:已有研究均提示重大疾病可造成对家庭经济的不良影响,其中高额医疗费用以及由于病患造成的劳动力降低或丧失是导致患者家庭致贫、返贫的关键因素。建议在研究设计方面优先考虑随访性研究,在研究内容方面将疾病类型进行扩展,更好地为国家的扶贫工作锁定重点人群,为医疗卫生系统的筹资系统、付费方式等提供新思路。
Objective: To provide ideas and references for further research on the impact of major diseases on family economy. Methods: Using literature review method, we searched and analyzed Chinese and English documents that describe the impact of major diseases on family economy. Results: The current research methods commonly used in related research mainly include disease cost analysis, catastrophic expenditure analysis, food security analysis, constructing multivariate model and research on coping strategy analysis of the family economic impact on the disease. The research mainly focuses on the family economy of AIDS, tuberculosis and non-communicable diseases. CONCLUSIONS: All previous studies have suggested that major diseases can cause adverse effects on the family economy. High medical costs and the reduction or loss of labor due to the patients are the key factors that lead to family poverty and return to poverty. It is suggested to give priority to follow-up research in research and design, expand the disease types in terms of research content, better target key populations for the country’s poverty alleviation work, and provide new ideas for financing system and payment methods of medical and health systems.