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目的探讨尘肺病经济负担特点及其影响因素,为减轻尘肺病经济负担提供依据。方法采用回顾性流行病学调查方法,对2010—2011年尘肺病住院治疗患者和门诊治疗患者421例的一般情况、年门诊和住院次数、门诊和住院医疗费用等进行调查,分析尘肺病患者直接经济损失及其影响因素。结果 421例尘肺病患者均为男性,196例曾门诊就诊,306例曾住院治疗。门诊和住院次均医疗费用分别为(594.53±336.23)元和(32 266.06±28 130.67)元,年均门诊和住院费用分别为2 907.25元和48 721.75元。医疗费用中,西药费占比最高为44.08%;其次为中药费12.62%。随着尘肺期别增加,年均门诊和住院次数及次均费用相应增加。有无并发症尘肺病患者年均住院总费用分别为55 822.20元和23 532.21元,年均门诊总费用分别为4 236.41元和882.31元,有并发症尘肺病患者门诊和住院次均费用均高于无并发症尘肺病患者(P<0.05)。结论尘肺病患者直接经济损失较高,尘肺期别和有无并发症的直接经济损失不同。
Objective To explore the economic burden of pneumoconiosis and its influencing factors, to provide the basis for reducing the economic burden of pneumoconiosis. Methods A retrospective epidemiological survey was conducted to investigate the general situation, outpatient and inpatient visits, outpatient visits and inpatient medical expenses of 421 patients with pneumoconiosis and outpatients from 2010 to 2011 in order to analyze the direct and indirect diagnosis of patients with pneumoconiosis Economic Loss and Its Influencing Factors. Results All 421 patients with pneumoconiosis were male, 196 were outpatient clinics and 306 were hospitalized. The average outpatient and inpatient medical expenses were (594.53 ± 336.23) yuan and (32 266.06 ± 28 130.67) yuan respectively. The annual outpatient and inpatient expenses were 2 907.25 yuan and 48 721.75 yuan respectively. Medical expenses, the highest proportion of Western medicine was 44.08%; followed by traditional Chinese medicine 12.62%. With the increase of pneumoconiosis stage, the average annual outpatient and hospitalization times and the average cost increased accordingly. The average annual cost of hospitalization for patients with or without pneumoconiosis was 55 822.20 yuan and 23 532.21 yuan, respectively. The average annual outpatient costs were 4 236.41 yuan and 882.31 yuan respectively. Both outpatients and hospitalized patients with complications of pneumoconiosis had higher average costs No complications of pneumoconiosis (P <0.05). Conclusions The direct economic loss of patients with pneumoconiosis is higher than that of pneumoconiosis patients with and without complications.