山西省某三甲医院意外伤害住院儿童疾病经济负担分析

摘要

Objective To learn about the economic burden of hospital children with the unintentional injury in Changzhi based on a hospital,and to provide a scientific basis of health priorities for the region.Methods Children who had first unintentional injury and visited a hospital in Changzhi from August 1,2012 to July 31,2013 were enrolled into the study.A face-to-face interview was carried out and rank-sum test was adopted.Results The top five disease burden of unin-tentional injury were 439 192.72 Yuan (traffic accident),217 833.73 Yuan (fall),61 508.93 Yuan (poisoning), 36 118.76 Yuan (burning);15 380.19 Yuan (insect/animal bites).The total disease burden was 835 007.24 Yuan,di-rect economic burden accounted for 81.63%,indirect economic burden accounted for 18.39%.In the direct economic bur-den,hospitalization costs accounted for 80.05%.Average disease burden was 11 928.67 Yuan in each person.The economic burden of 10 -14 years old accounted for 51.87% of total economic burden.Conclusion Economic burden caused by un-intentional injury is considerable.Traffic accident damage is the heaviest damage reasons,followed by falling down.In all age group the heaviest economic burden is in 10 -14 years group.%目的：以山西省长治市某三甲医院为基点了解长治地区意外伤害住院儿童疾病经济负担，为确定本地区卫生工作重点提供科学依据。方法选取2012年8月1日—2013年7月31日首次住长治市某三甲医院的意外伤害儿童共70人作为研究对象，进行面对面调查，采用秩和检验。结果本组资料意外伤害的疾病负担，前5位的为交通事故439192.72元，跌落217833.73元，中毒61508.93元，烫伤36118.76元，昆虫／动物咬伤15380.19元。总疾病负担为835007.24元，直接经济负担占81.63％，间接经济负担占18.39％。其中直接经济负担中住院费用占80.05％。人均疾病经济负担11928.67元。10～14岁的经济负担占总经济负担的51.87％。结论意外伤害造成的经济负担是严重的。不同意外伤害原因中交通事故的危害最重，其次为跌落。在各年龄段，10～14岁的经济负担最高。