北京市居民健康期望寿命测算研究

目的：基于卫生系统现有数据测算北京市居民健康期望寿命，对该指标本土化研究与应用提出建议。资料与方法：利用2008年北京市年度人口和死亡资料，第四次国家卫生服务调查和第二次全国残疾人抽样调查资料，基于沙利文法测算常用健康期望寿命指标。结果：2008年北京市居民0岁自评健康期望寿命为72．75岁，男性71．22岁，女性73．89岁。0岁无失能期望寿命75．18岁，男性73．85岁，女性76．56岁。0岁无慢性病期望寿命62．73岁，男性61．87岁，女性63．75岁。北京居民健康期望寿命在期望寿命中的占比男性通常高于女性，但老年人口中，男性健康期望寿命在期望寿命中的占比低于女性。政策建议：使用健康期望寿命作为居民健康状况评价的重要指标，借鉴国外成熟经验建立本土化的数据报告和收集制度，推进居民全生命周期人口相关信息数据的整合与利用，重视老年人口的长期照护需求及其健康支持体系建设。

The calculating trial on health expectancy of Beijing residents

Objectives: Using available data from health information system of the Beijing Municipal Health Bureau, we calculated the health expectancy indicators for residents in Beijing. With these indicators, we were able to measure residents' general health and provide research advice and policy proposals for the domestic practice of health expectancy. Methods:The study is based on data from regular statistic survey and special statistic survey of Beijing Municipal Health Bureau. The former included annual official population and mortality data, and the later included the 4th National Health Service Survey and 2nd National Sample Survey on Disability. The abridged life table and Sullivan's method were used to calculate health expectancies. Results:In 2008, HE-sp at birth for residents in Beijing was 72.75 years. For male and female this was 71.22 years and 73.89 years, respectively. DFLE for the residents at birth was 75.18 years. For males at birth this was 73.85 years and for females at birth this was 76.56 years. HE-cm for the residents at birth was 62.73 years. For males and females this was 61.87 years and 63.75 years, respectively. Generally speaking, for all the health expectancies of life expectancies, males spent a greater proportion than female, but in the aged groups the difference reversed. Conclusions:We propose promoting the government's use of health expectancy as an important indicator for residents' health status evaluation. We also propose establishing domestic information reports and data collection mechanisms abroad mature experience. The government should facilitate the consolidation and utility of population data relevant to the residents' full lifecycle information. Finally, and considering the long-term care demand as well as its sustainable system construction of the elderly residents.