重大疾病对家庭经济影响的研究综述

Review on Economic Impact of Critical Diseases on Households

目的:为进一步开展重大疾病对家庭经济影响的相关研究提供思路和借鉴。方法:利用文献综述方法,对描述重大疾病对家庭经济影响的中英文文献进行检索和分析。结果:目前相关研究常用的研究方法主要包括疾病费用分析,灾难性支出分析,粮食安全分析,构造多变量模型,以及研究家庭对疾病造成经济影响进行的应对策略分析。研究内容主要集中在艾滋病、结核、非传染性疾病等对于家庭经济的影响。结论:已有研究均提示重大疾病可造成对家庭经济的不良影响,其中高额医疗费用以及由于病患造成的劳动力降低或丧失是导致患者家庭致贫、返贫的关键因素。建议在研究设计方面优先考虑随访性研究,在研究内容方面将疾病类型进行扩展,更好地为国家的扶贫工作锁定重点人群,为医疗卫生系统的筹资系统、付费方式等提供新思路。

Objective： To provide new perspectives for further research on economic impact of critical diseases. Methods： A systematic search is done on English and Chinese literature on the economic impact of critical diseases on households. Results： Studies showed diversity in methodological design, including analysis of cost-of-illness, catastrophic costs, food security, multivariable modeling, and coping strategy. Relevant diseases were focused on AIDS/HIV, malaria, tuberculosis, and non-communicable diseases. Conclusion： Critical diseases have adverse impact on household economy, the key factors of which are high direct medical expenses and lost household economic productivity due to disease or death, Prospective study design and involvement of more types of diseases are recommended to improve access for target population of government poverty reduction, to provide new insights on financing and payment in medical system.