摘要
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 provide scientific data for reducing economic burden of child injury by exploring direct economic burden of child injury inpatients. Methods A cluster sampling method was used to collect medical record data of injury patients aged 0 to 14 from 1994 to 2008 in two general hospitals of Gansu Province,and the direct economic burden was analyzed. Results The average hospitalization expenses and daily average cost of injury inpatients among children had a positive correlation with year,the average growth speed was 10. 75% and 15. 55%,respectively,and the average hospitalization days had a negative correlation with year,the average descending speed was 4. 16%. Drug cost has the highest proportion in every single cost,and surgery cost had the fastest average growth speed with 6. 64%. Conclusion Direct burden of economy for family and society made by child injury become worse. The medicine cost with a high proportion and the rapidly rising medicine cost are core influencing factors.
出处
《中国学校卫生》
CAS
北大核心
2015年第2期221-222,225,共3页
Chinese Journal of School Health
关键词
儿童
住院
经济学
统计学
Child
Hospitalized
Econmics
Statistics
作者简介
杨轶男（1982-），女，甘肃兰州人，硕士，主治医师，主要研究方向为儿童伤害防治与评价。
【通讯作者】胡晓斌，E-mail：huxiaobin@lzu．edu．cn。
