目的: 我国高血压疾病的患病率近年来呈快速上升趋势,对其疾病经济负担进行测算有助于政府合理规划现有卫生资源,进一步完善医疗保障体系,切实减轻疾病对于高血压患者个人、家庭和社会造成的经济影响。方法: 利用Stata16.0对数据进行清洗筛选,通过Spss21.0对数据进行统计分析,使用二步模型法和人力资本法对2018年深圳市高血压疾病的直接经济负担和间接经济负担进行测算。结果: 深圳市2018年高血压疾病经济负担为31.225亿元,其中,直接经济负担为28.605亿元,间接经济负担为2.62亿元,约占深圳市GDP的0.13%。结论: 深圳市高血压的疾病经济负担较重,且呈现上升趋势;门诊的经济负担高于住院,药品费用占比较高。建议加强社区慢性病防治网络建设,完善医保监督体系,加强医院内部管理等。
Abstract
Objective: The prevalence of hypertension in China is increasing rapidly, and the calculation of its disease burden is helpful for the government to reasonably plan the health resources, improve the medical security system, and effectively reduce the expenditure of hypertension on individuals, families and society. Methods: Stata16.0 was applied to clean and filter the data, Spss21.0 was used to analyze the data, and two-step model method and human capital approach was used to calculate the direct and indirect economic burden of hypertension in Shenzhen in 2018. Results: The economic burden of hypertension in Shenzhen in 2018 was 3.1225 billion yuan, of which the direct economic burden was 2.8605 billion yuan and the indirect economic burden was 262 million, accounting for 0.18% of the GDP of Shenzhen. Conclusion: The economic burden of hypertension in Shenzhen is relatively heavy, showing an upward trend. The economic burden of outpatient service is higher than that of inpatient service, and the drug cost accounts for a relatively high proportion. The construction of community chronic disease prevention and control network should be strengthened, the supervision system of medical insurance should be improved, and the internal management of hospitals should be strengthened.
关键词
医疗费用 /
疾病经济负担 /
高血压
Key words
medical expenses /
economic burden of diseases /
hypertension
{{custom_sec.title}}
{{custom_sec.title}}
{{custom_sec.content}}
参考文献
[1] 李春燕,简伟研.中老年人心血管疾病经济负担——基于中国健康与养老追踪调查的实证分析[J].中国卫生政策研究,2017,10(05):75-80.
[2] 国家卫生健康委疾病预防控制局.中国居民营养与慢性病状况报告(2020年)[M].北京:人民卫生出版社,2022:5-20.
[3] 向莹君,魏淑娟,苏建军,等.深圳市福田区高血压和糖尿病流行特征及疾病经济负担研究[J].现代预防医学,2015,42(17):3169-3171.
[4] 郭莉娜,刘琰,杜丽红,等.高血压直接经济负担趋势分析[J].医学与社会,2016,29(005):42-44,50.
[5] 卢俊伽. 川渝地区高血压健康管理人群的疾病经济负担及其影响因素研究[D].重庆医科大学,2016.
[6] 李湘君,卞琦娟,史苹,等.城镇基本医保制度下高血压患者疾病直接经济负担及影响因素分析[J].现代预防医学,2021,48(05):836-840.
[7] 杨雪帆,华俊杰,冯斐,等.成都市武侯区18岁及以上居民高血压前期影响因素研究[J].中华疾病控制杂志,2013,17(9):747-751.
[8] 李力. 山东省高血压疾病的经济负担及医疗保险的影响作用研究[D].山东大学,2013.
[9] 辛洁,苏景宽,尚磊.社区老年慢性病规范化管理模式及效果评价[J].河北医科大学学报. 2019,40(10):1226-1229.
[10] 黎倩欣,周尚成,陈飘飘,等.深圳市糖尿病疾病经济负担研究[J].卫生经济研究,2021,38(03):63-66.
[11] 白艳艳,冯六六,黄红漫,等.医院-社区-家庭三元联动移动平台对高血压病人慢性病管理质量的影响[J].中西医结合心脑血管病杂志. 2022,20(09):1630-1634.
基金
国家自然科学基金项目“基于ICD-11传统医学分类的中医优势病种疾病负担及归因危险因素研究”(81973979)