摘要
目的:从全社会角度,探讨中国城市精神分裂症的疾病经济负担。方法:利用广州市城镇职工和城镇居民基本医疗保险2010—2012年数据,以及伤残调整生命年(Disability Adjusted of Life Years,DALY)指标,对精神分裂症的直接经济负担和间接经济负担进行测算。结果:2010—2012年广州市精神分裂症造成的直接经济负担分别为9 569万元、16 862万元和19 770万元;间接经济负担分别为109 668万元、120 189万元和137 508万元;直接经济负担与间接经济负担之比为1∶8.5。广州市精神分裂症疾病的直接和间接经济负担均呈递增趋势,住院病人和城镇职工基本医疗保险病人的医疗花费是直接经济负担的主要组成部分。结论:精神分裂症的疾病经济负担严重,并呈现明显递增趋势,其间接经济负担显著高于治疗疾病的直接经济负担。
Objective： To evaluate the disease burden of schizophrenia in cities of China based on societal pespective. Methods： 2010-2012 databases from Urban Employee Basic Medical Insurance（UEBMl）, Urban Residents Basic Medical lnsurance（URBMl） in Guangzhou and disability adjusted life year（DALY） were used to estimate direct economic cost and indirect economic cost caused by schizophrenia. Results： From 2010 to 2012, Guangzhou＇s direct costs of schizophrenia were 95.69 million RMB, 168.62 million RMB and 197.70 million RMB; 2010-2012 indirect costs of schizophrenia were 1 096.68 million RMB, 1 201.89 million RMB and 1375.08 million RMB. The rate for Direct economical loss and indirect economical loss equaled 1：8.5. The direct cost and indirect cost caused by schizophrenia in Guangzhou were increasing. Medical cost from inpatients and people with UEBMI are the main component of direct economic burden. Conclusion： Caused by schizophrenia, serious economic cost increased sharply. Indirect economic cost of schizophrenia was higher than its direct economic cost.
出处
《中国卫生经济》
北大核心
2014年第5期62-65,共4页
Chinese Health Economics
关键词
精神分裂症
疾病负担
经济负担
伤残调整生命年
医疗保险
schizophrenia
burden of disease
economic cost
disability adjusted life year
medical insurance
