兵团团场居民慢性非传染性疾病现状和经济负担

The Status and Economic Burden of Chronic Non-communicable Diseases in Xinjiang Production and Construction Corps

目的:了解兵团团场居民慢性病非传染性疾病患病现状和经济负担。方法:依据兵团2008年慢性病调查资料,利用二步模型法和人力资本法,测算兵团居民慢性病的经济负担。结果:2008年兵团团场调查居民慢性病患病率为223.1‰,调查居民患病率居前5位的依次是:高血压、心脏病、慢性胃肠炎、糖尿病、胆结石胆囊炎;[45,55)岁、[55,65)岁、[65,∞)岁3个年龄段团场居民慢性病患病率分别为290.1‰、490.8‰、604.9‰;慢性病疾病总经济负担为14.03亿元,其中,直接经济负担是11.82亿元、间接经济负担是2.21亿元。结论:必须积极开展控制高血压病和心脑血管疾病的干预活动,进行宣传、健康教育;防治慢性病对于减轻个人、家庭和社会的经济负担至关重要;应该调整卫生资源的投入比例,改善慢性病管理工作现状。

Objective：To know the status and economic burden of chronic non-communicable diseases in Xinjiang production and construction corps. Methods：Using two-step model and human capital approach to measure the economic cost of chronic non-communicable diseases according to the data from chronic non-communicable diseases surveys. Results：The prevalence on farm in Xinjiang production and construction corps was 223.1‰. The leading five orders of chronic non-communicable diseases prevalence rate were hypertension,heart disease,gastro-enteritis,diabetes,gall-stone and cholecystitis in 2008. The total economic burden of all was 1.403 billion RMB,the direct economic burden was 1.182 billion RMB and the indirect economic burden was 0.221billion RMB. Conclusion：Hypertension,heart disease and erebrovascular should be controlled. It is very important to prevent and cure chronic non-communicable diseases for reducing the economic burden of individual,households and society. Health resources should be adjusted to improve status of managing for chronic non-communicable diseases.