某矿业集团煤工尘肺疾病负担分析

Analysis of the burden of coal worker's pneumoconiosis disease in a mining group

目的:分析某矿业集团煤工尘肺所造成的健康寿命损失和经济损失,为尘肺病防治及相关政策的制定提供科学依据。方法:于2017年3至10月,选择某矿业集团1972-2013年入矿且已被诊断为煤工尘肺的劳动者,共1262例。用分步模型法分别计算直接、间接经济损失,直接经济损失包括医疗费用、一次性伤残补助金、伤残津贴、丧葬补助金、一次性工亡补助金、生活护理费、伙食补助费、供养亲属抚恤金及交通费等;间接经济损失包括社会生产力损失、补充新职工培训费、陪护家属交通费、陪护家属社会生产力损失、停产和减产损失等。寿命表法计算煤工尘肺造成的社会生产力损失。结果:1262例煤工尘肺患者均为男性。尘肺壹期所占比例较大(95.40%,1204/1262),七级伤残所占比例较大(42.63%,538/1262)。确诊年龄22.02~71.33岁,平均47.38岁。1262例煤工尘肺患者总共造成9068.54年健康寿命损失,其中残疾引起的健康寿命损失(YLD)占93.56%(8484.69/9068.54);煤工尘肺患者YLD 0.06~33.30年,人均损失6.70年。1262例煤工尘肺患者的总经济损失为2842185447.70元,人均2252127.93元。其中直接经济损失占81.59%(2318990168.46/2842185447.70),是间接经济损失的4.42倍。人均直接经济损失中医疗费所占比例较大(50.04%,919510.84/1837551.64)。人均间接经济损失为414576.29元,其中社会生产力损失232908.95元(56.18%)。结论:煤工尘肺的发生造成沉重的经济负担,同时造成了严重的社会生产力损失。

Objective To provide scientific basis for the prevention and control of pneumoconiosis and the formulation of relevant policies,this paper discusses the loss of health life and economic loss caused by coal worker's pneumoconiosis in a mining group.Methods From March to October 2017,1262 cases of coal worker's pneumoconiosis were diagnosed in a mining group from 1972 to 2013.The direct and indirect economic losses are calculated by the step-by-step model method.Direct economic losses include medical expenses,one-time disability allowance,disability allowance,funeral allowance,one-time work death allowance,living and nursing expenses,food allowance,pension for supporting relatives and transportation expenses,etc.Indirect economic losses includes loss of social productivity,additional training fee for new employees,transportation fee for accompanying family members,loss of social productivity of accompanying family members,loss of production suspension and production reduction,etc.Life table method was used to calculate the loss of social productivity caused by coal worker's pneumoconiosis.Results All 1262 coal worker's pneumoconiosis patients were male.In the stage of pneumoconiosis,95.40%(1204/1262)of the first stage of pneumoconiosis and 42.62%(538/1262)of the seventh stage of disability.The age of diagnosis(22.02-71.33)was 47.38 years on average.1262 coal worker's pneumoconiosis patients caused a total of 9068.54 years of health life loss,of which YLD accounted for 93.56%(8484.69/9068.54).The loss of YLD(0.06-33.30)years in 1262 coal worker's pneumoconiosis patients was 6.70 years per capita.The total economic loss of 1262 coal workers with pneumoconiosis was 2842185447.70 yuan,with a per capita of 2252127.93 yuan.The direct economic loss accounted for 81.59%(2318990168.46/2842185447.70),which was 4.42 times of the indirect economic loss.Among the direct economic loss per capita,medical expenses accounted for a large proportion of 50.04%(919510.84/1837551.64).The per capita indirect economic loss is 414576.29 yuan.The loss of social productivity accounted for 56.18%(232908.95/414576.29).Conclusion Coal worker's pneumoconiosis causes heavy economic burden and serious loss of social productivity.