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温静, 丁勇, 陈中伟, 郭忠琴. 宁夏2006年伤害住院患者经济损失及影响因素[J]. 中国公共卫生, 2011, 27(9): 1197-1199. DOI: 10.11847/zgggws2011-27-09-59
引用本文: 温静, 丁勇, 陈中伟, 郭忠琴. 宁夏2006年伤害住院患者经济损失及影响因素[J]. 中国公共卫生, 2011, 27(9): 1197-1199. DOI: 10.11847/zgggws2011-27-09-59
WEN Jing, DING Yong, CHEN Zhong-wei, . Economic loss and its related factors among injury inpatients in 2006 in Ningxia Hui Autonomous Region[J]. Chinese Journal of Public Health, 2011, 27(9): 1197-1199. DOI: 10.11847/zgggws2011-27-09-59
Citation: WEN Jing, DING Yong, CHEN Zhong-wei, . Economic loss and its related factors among injury inpatients in 2006 in Ningxia Hui Autonomous Region[J]. Chinese Journal of Public Health, 2011, 27(9): 1197-1199. DOI: 10.11847/zgggws2011-27-09-59

宁夏2006年伤害住院患者经济损失及影响因素

Economic loss and its related factors among injury inpatients in 2006 in Ningxia Hui Autonomous Region

  • 摘要: 目的了解宁夏回族自治区伤害住院患者的经济损失情况及其影响因素,为伤害的预防控制提供理论依据。方法采用多阶段抽样方法对宁夏回族自治区银北、银川、银南和固原地区抽取的9家医院共5 906例伤害住院患者的经济损失情况进行回顾性分析。结果2006年宁夏回族自治区伤害住院患者因伤害造成的总经济损失为4 082.43万元,其中直接经济损失3 811.74万元,占93.37%,间接经济损失270.68万元,占6.63%;人均直接经济损失、间接经济损失和总经济损失的中位数分别为2 388.66,314.78和2 772.26元;男性伤害住院患者的人均直接和间接经济损失中位数分别为2 424.89和322.85元,分别高于女性的2 303.66和293.80元(P<0.05);<15岁、15岁~、30岁~、45岁~和60岁~年龄组人均直接经济损失中位数分别为1 789.85,2 181.08,2 631.11,2 734.66和2 598.56元;间接经济损失分别为129.14,338.99,399.53,427.76和193.07元;不同年龄组人均直接、间接经济损失间差异均有统计学意义(P<0.001);多因素非条件Logistic回归分析结果表明,市区级医院、交通事故伤、跌倒/坠落伤、钝器伤、烧烫伤、下肢损伤、骨折、大血管损伤、中毒和伤后手术治疗是宁夏伤害住院患者经济损失的危险因素;学龄前儿童、学生和面部损伤是宁夏伤害住院患者经济损失的保护因素。结论医院级别、职业、伤害类型、伤害部位、伤害性质和治疗方式是宁夏回族自治区伤害住院患者经济损失的影响因素。

     

    Abstract: ObjectiveTo know the economic loss and its related factors among injury inpatients in Ningxia Hui Autonomous Region,and to provide theoretical basis for injury prevention and control.MethodsA retropective study on economic loss was conducted among 5 906 injury inpatients selected with multistage cluster sampling from nine hospitals in four areas of Ningxia Hui Autonomous Region.ResultsThe total injury-caused economic loss was 40.82 million RMB yuan.The median of direct economic losses was 2 388.66 yuan;the indirect economic loss was 314.78 yuan and the total economic loss was 2 772.26 yuan for one injury inpatient.The direct economic loss in men(2 424.89 yuan)was more than that in women(2 303.66 yuan,Z=-2.024,P<0.05).The median of average economic loss per injury inpatient at age of <15,15-29,30-44,45-59,and≥60 years was 129.14,338.99,399.53,427.76,and 193.07 yuan,respectively,with significant difference(χ2=1002.70,P<0.001).The results of logistic regression showed that hospitalization in district or municipal hospital,traffic accident,fall or crash injury,blunt injury,burn or scalded injury,low er extremitiy or fracture injury,injury of great vessel,poisoning,and the operation were risk factors for economic loss.Preschool children,student, faicial injury were protective factors for lower economic loss.ConclusionThe grade of hospital,occupation,type and nature of injury,and treatment process are factors influencing economic loss for inpatients with injury in Ningxia Hui Autonomous Region.

     

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