Economic burden of cardiovascular diseases in China.
Economic burden of cardiovascular diseases in China.
复制标题
中国心血管疾病的经济负担。
DOI：
10.1586/14737167.8.4.349
复制
发表时间：
2008-08-01
影响因子：
2.3
通讯作者：
Xu, Judy
中科院分区：
文献类型：
--
作者：
Yang, Li;Wu, Ming;Xu, Judy
心血管疾病已成为我国城乡中老年人死亡和致残的主要原因。本研究的目的是估计中国CVD的直接成本。根据2003年全国卫生服务调查资料，按性别、年龄、地域、疾病类型和医疗保险等因素对2003年中国心血管疾病患者的直接费用进行估算。年平均直接医疗费用和直接非医疗费用城市分别为4238.3元和153.9元，农村分别为2302.5元和416.4元。平均只有23.9%的门诊费用和35.2%的住院费用可以由各种医疗保险支付。2003年，这一疾病负担导致了2090亿元人民币（261亿美元）的直接成本。心血管疾病与家庭和社会的经济负担之间的强正相关表明，中国需要加大对预防心血管疾病的投资。
Cardiovascular diseases (CVD) have become the principle cause of death and disability among the middle-aged and elderly both in urban and rural areas of China. The objective of this study is to estimate the direct costs of CVD in China. Direct costs were estimated for the Chinese population with CVD in 2003 by sex, age, geography, type of medical condition and medical insurance, and then calculated based on the 2003 National Health Services Survey. The annual average direct medical cost and direct nonmedical cost were 4238.3 Yuan (US$529.8) and 153.9 Yuan (US$19.2) in urban areas, 2302.5 Yuan (US$278.1) and 416.4 Yuan (US$50.3) in rural areas, respectively. On average, only 23.9% of outpatient costs and 35.2% in-patient costs could be paid by various kinds of medical insurance. This disease burden led to 209.0 billion Yuan (US$26.1 billion) in direct costs in 2003. The strong positive association between CVD, and the economic burden to families and society, demonstrates the need for greater investment to prevent CVD in China.