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目的探讨0~14岁伤害住院儿童的直接经济负担,为降低儿童伤害的疾病负担提供基础数据。方法采用整群抽样方法,抽取1994—2008年兰州市2所综合医院0~14岁伤害住院儿童的病历,进行疾病直接经济负担的描述。结果伤害住院儿童的人均住院费、日均住院费与年份均呈正相关(rs值分别为0.95,0.98,P值均<0.05),平均增长速度分别为10.75%,15.55%;平均住院日与年份呈负相关(rs=-0.77,P<0.01),平均下降速度为4.16%;在各单项费用中药费所占比例最高,达31.81%;手术费平均增长速度最快,为6.64%。结论儿童伤害给家庭社会造成的直接经济负担日益严重,药费比重高、手术费增长快是儿童伤害住院费用的核心影响因素。
Objective To explore the direct economic burden of hospitalized children aged 0-14 years and provide basic data for reducing the burden of disease caused by child injury. Methods A cluster sampling method was used to collect the records of hospitalized children aged 0-14 years from 2 general hospitals in Lanzhou from 1994 to 2008 to describe the direct economic burden of disease. Results The per capita hospitalization expenses and average daily hospitalization expenses of hospitalized children were positively correlated with the years (rs = 0.95,0.98, P <0.05), the average growth rates were 10.75% and 15.55% respectively. The average length of stay and year (Rs = -0.77, P <0.01), and the average rate of decline was 4.16%. Among the individual expenses, the proportion of Chinese medicine was the highest, accounting for 31.81%. The average growth rate of surgery was 6.64%. Conclusions The direct financial burden on children’s families caused by child injury is more and more serious. The proportion of drug costs is high and the surge of operating costs is the key factor affecting the hospitalization of children.