慢性阻塞性肺疾病疾病负担测评方法概述

An Overview of Methods for Assessing the Burden of Chronic Obstructive Pulmonary Disease

慢性阻塞性肺疾病(Chronic Obstructive Pulmonary Diseases,COPD)严重危害生命健康,疾病负担沉重。疾病负担主要涵盖患病率、致残率和死亡率等传统流行病学指标,也包括直接经济负担、间接经济负担和无形经济负担等经济负担评价指标,以及潜在减寿年数、伤残调整寿命年和质量调整生命年等社会/健康负担评价指标。研究对现有的COPD疾病负担测评方法进行了总结,并提出如下建议:(1)丰富经济负担研究方法,全面准确评价直接经济负担;(2)拓展经济负担研究范围,完善COPD经济负担研究;(3)加强信息化管理,增强疾病负担数据准确性;(4)探究多维指标,建立COPD疾病负担评价体系;(5)加强相关研究,凸显中医干预COPD的卫生经济学优势。可为建立COPD疾病负担评价体系及政策制定提供参考。

Chronic obstructive pulmonary disease(COPD)poses a serious threat to human health and carries a heavy burden of disease.The disease burden mainly includes traditional epidemiological indicators such as morbidity,disability rate,and mortality rate,as well as economic burden evaluation indicators such as direct economic burden,indirect economic burden,and intangible economic burden,as well as social/health burden evaluation indicators such as potential years of life reduction,disability adjusted life years,and quality adjusted life years.It summarized the existing methods for evaluating the burden of COPD diseases and proposed the following suggestions:(1)enriching economic burden research methods to comprehensively and accurately evaluate direct economic burden;(2)expanding the scope of economic burden research and improve the economic burden research of COPD;(3)strengthening information management and enhance the accuracy of disease burden data;(4)exploring multidimensional indicators and establish a COPD disease burden evaluation system;(5)strengthening relevant research and highlight the health economics advantages of traditional Chinese medicine intervention in COPD.It can provide references for establishing a COPD disease burden evaluation system and policy formulation.