农业人群女性三种恶性肿瘤经济负担趋势调查

Trends of Disease Economic Burden of Three Common Cancers in Women Patients in Rural Areas

目的了解农业人群女性宫颈癌、卵巢癌和乳腺癌的经济负担变化趋势,以期为控制医疗费用上涨及农村地区女性恶性肿瘤的防治工作提供科学依据。方法采取整群抽样的方法抽取兰州市2所三甲医院11年间诊断的宫颈癌、卵巢癌和乳腺癌的农村女性住院患者的病历资料,分析疾病经济负担及变化趋势。结果 11年间女性三种恶性肿瘤人均直接经济损失的平均增长速度是3.24%,2006年是1996年的2.13倍;人均间接经济损失和人均潜在工作损失年数的平均增长速度分别是3.68%、14.00%,且均逐年递增。结论农业人群女性三种恶性肿瘤对家庭和社会造成较重的经济负担,其中乳腺癌的经济负担最重,建议制定合理的措施来控制医疗费用上涨,减轻患者的经济负担。

Objective To investigate the change trend of disease economic burden in women patients who have common cancers of cervical, ovarian and mammary cancers in rural areas, so as to check the rise of medical expense and provide a scientific basis for prevention and control of rural women cancers. Methods The cluster random sampling was taken to choose the medical record data of rural women inpatients with cervical, ovarian and mammary cancer in two third - level grade - A hospi- tals of Lanzhou during the past 11 years, and then the economic burden of disease and its changing trend were analyzed. Results The average growing velocity of the direct economic loss for the rural women patients with the three kinds of cancers was 3.24% during the 11 years. And the loss in 2006 was 2. 13 times in 1996. The yearly growing velocity per capita of indirect economic loss and potential working loss per capita were respectively 3.68% and 14. 00%, and they were increasingly growing year by year. Conclusion The cervical, ovarian and mammary cancers, especially the mammary cancer, in rural women peasants give serious economic burden on both the family and the society. It is suggested that reasonable measures should be carried out as soon as possible to control rising medical costs and reduce the economic burden of the patients.