新疆生产建设兵团慢性非传染性疾病经济负担

Economic burden of non-communicable chronic diseases in Xinjiang Production and Construction Corps

目的分析新疆生产建设兵团居民慢性非传染性疾病的经济负担。方法按经济和地理状况,抽取新疆生产建设兵团3个师所在地和10个团场,共调查居民3 018户,计8 347人;调查其2008年慢性病患病及费用支出情况,采用二步模型法和人力资本法,测算居民慢性病的经济负担。结果2008年新疆生产建设兵团调查居民慢性病患病率为248.5‰,患病率居前5位慢性病依次是高血压、糖尿病、胃炎、其他类型心脏病、冠心病;慢性病疾病总经济负担为19.41亿元,其中直接经济负担为17.13亿元,间接经济负担是2.28亿元;居慢性病疾病经济负担前5位疾病为心脏病、高血压、糖尿病、脑血管疾病、恶性肿瘤,其总经济负担合计为9.46亿元,占慢性病总经济负担的48.74%。结论新疆生产建设兵团慢性病患病率较高,给患者个人、家庭及社会带来沉重经济负担;应逐步提高慢性病门诊费用报销比例,降低兵团居民慢性病经济负担。

Objective To know the economic burden of non-communicable chronic diseases（NCDs） in Xinjiang Production and Construction Corps.Methods A total of 8 347 commumity inhabitants in Xinjiang Production and Construction Corps were surveyed.Two-step model and human capital approach were used to measure the economic cost of NCDs according to the data from NCDs surveys.Results In 2008,the prevalence of NCDs was 248.5‰.The leading five prevalences of NCDs were hypertension,diabetes,gastricism,other types of heart disease,and coronary heart disease.The total economic burden of NCDs was 1.941 billion Yuan RMB.The direct economic burden was 1.713 billion Yuan RMB and the indirect economic burden was 0.228 billion Yuan RMB.The leading five burden of NCDs were malignancy,diabetes,heart disease,hypertension,and cerebrovascular disease with a total economic burden of 9.46 billion Yuan RMB,accounting for 48.74% of the total economic burden of NCDs.Conclusion The prevalence of NCDs is high in Xinjiang Production and Construction Corps.NCDs induce serious economic burden to individual,household and society.