[Impacts of non-transmissible chronic diseases on social security benefits].

[Impacts of non-transmissible chronic diseases on social security benefits].
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DOI:
10.1590/s1413-81232007000600027
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发表时间:
2007-11-01
影响因子:
1.7
通讯作者:
da Silva, Neiton Jose Carvalho
da Silva, Neiton Jose Carvalho
中科院分区:
医学4区
文献类型:
--
作者:
de Moura, Alda Alice Gomes;de Carvalho, Eduardo Freese;da Silva, Neiton Jose Carvalho

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本文力求确定目前的影响,非传染性慢性病(NTCDs)的疾病和残疾福利支付的巴西国家社会保障研究所(INSS)在2000年和2002年之间。共研究了17 970例新病例,这些病例在巴西东北部伯南布哥州累西腓的两个地方机构登记。最初,根据CID-10分类法,按主要疾病组对病例进行分类。骨肌疾病和心血管疾病是发放疾病津贴的主要原因。在残疾福利中,心血管疾病、精神障碍和OMD是主要原因。就残疾人和营养不良主要群体的具体疾病而言,发放疾病津贴的主要原因是高血压、糖尿病、关节病、乳腺癌和肠癌、情绪障碍和精神分裂症。就残疾津贴而言,主要原因是脑血管疾病、糖尿病、胃肠道癌症和精神分裂症。大多数(66%)领取者是39至58岁的男子,补助金的初始金额为每月最低工资的三倍。
This paper strives to identify the current impact of Non-Transmissible Chronic Diseases (NTCDs) on sickness and disability benefits paid out by Brazil's National Social Security Institute (INSS) between 2000 and 2002. A total of 17,970 new cases were studied, registered at the two local agencies in Recife, Pernambuco State, Northeast Brazil. Initially the cases were divided up according by major diseases groups, following the CID-10 classification. Osteomuscular diseases (OMDs) and cardiovascular diseases (CVDs) were among the main reasons for granting sickness benefits. Among the disability benefits, CVDs, mental disorders (MDs), and OMDs, were the main reasons. In terms of specific diseases within the major DCNT groups, the main reasons for granting sickness benefits were high blood pressure, diabetes mellitus, arthrosis, breast and intestinal cancer, mood disorders and schizophrenia. For disability benefits, the main causes were cerebrovascular diseases, diabetes mellitus, cancer of the gastro-intestinal tract and schizophrenia. Most (66%) of the recipients were men between 39 and 58 years of age, and the initial value of the benefit was of up to three minimum wages per month.