义马某煤业集团煤工尘肺医疗费的调查

Investigation of the Medical Expenses of the Coalminers' Pneumoconiosis Patients in Yama Coal Industry Corporation

目的调查义马某煤业集团煤工尘肺的医疗费发生情况,为保障尘肺患者及时治疗合理使用医疗费提供依据。方法由职业卫生专职人员和劳资社保人员分别对该单位煤工尘肺病人的基本情况和2006年发生的医疗费进行调查、登记、统计。结果煤工尘肺病人年龄最小55岁,最大79岁,平均65岁;111例煤工尘肺病人共发生医疗费522 300元,人均(4 705±672)元;Ⅰ期尘肺病人发生的平均医疗费明显低于Ⅰ期尘肺合并活动性肺结核病人的平均医疗费(P<0.05),也明显低于Ⅱ期尘肺病人发生的平均医疗费(P<0.01),Ⅰ期尘肺合并活动性肺结核病人发生的平均医疗费和Ⅱ期尘肺病人发生的平均医疗费差异无统计学意义(P>0.05)。结论要重点作好高期别尘肺病人和合并活动性肺结核尘肺病人的医疗救治工作,同时要做好工伤社会保险费的缴纳工作。

[ Objective] To investigate the medical expenses of the coalminers＇ pneumoconiosis patients in Yima Coal Industry Corporation and provide basis for reasonable medical expenses utilization. [ Methods] Investigation, registration and statistic analysis were made on the basic information and medical expenses of the coalminers＇ pneumoconiosis patients in 2006 in Yima. [Results] The age of the coalminers＇pneumoconiosis ranged from 55 to 79 with an average age of 65; the total medical expenses of the 111 coalminers＇ pneumoconiosis patients was 522 300 yuan, with an average expenses of （4 705 ± 672） per person; the average medical expenses of the pneumoconiosis patients in stage I was obviously lower than that of those complicated with active tuberculosis （ P 〈0. 05） and the stage Ⅱ patients [ P 〈 0. 05 ） ; no obvious difference was found between the patients of stage Ⅰ complicated with active tuberculosis and stage Ⅱ patients [P 〉 0.05）. [ Conclusion] Emphasis should be made on the treatment of the coalminers＇ pneumoconiosis complicated with active tuberculosis; meanwhile, social insurance should be enhanced.