中国1993－2008年脑血管病直接经济负担研究

目的 评价1993－2008年中国脑血管病直接经济负担状况及其变化趋势。方法 利用1993、1998、2003和2008年4次国家卫生服务调查数据,采用二步模型法推算中国1993－2008年≥30岁人群脑血管病直接经济负担及其变化情况,包括脑血管病直接门诊费用和直接住院费用。结果 1993－2008年中国≥30岁人群脑血管病直接经济负担明显上升,从1993年的84.73亿元上升至2008年的1 031.25亿元,去除物价影响后,实际增长了5.3倍,年均增速为13.1%,高于同期卫生总费用和GDP的增长速度,其中2003－2008年直接经济负担的增长速度最快,年均增速为19.8%。结论 中国≥30岁人群脑血管病疾病负担给个人和社会造成的影响已相当严峻,应加强对脑血管病相关领域的理论和实践研究。

Direct economic burden of cerebrovascular disease, during 1993-2008 in China

Objective To evaluate the status and trend of direct economic burden on cerebrovascular disease,from 1993 to 2008 in China. Methods Using two-step model to calculate the economic cost with related trend of cerebrovascular disease within the population among the over 30-year-olds,from 1993 to 2008. Data was gathered from the National Health Service Surveys Analysis Reports of 1993,1998,2003 and 2008,that including both direct outpatient and inpatient cost. Results There appeared a significant increase on the burden of cerebrovascular diseases in the period of 15 years,with direct economic cost increasing from 8.473 billion to 103.125 billion RMB. In fact,the actual increase was 5.3 times,without the influence of the price. The average annual growth rate was 13.1%,exceeding the rate of total expenditure on health and GDP during the same time span. In addition,the growth rate in 2003-2008 was the fastest,which appeared to be 19.8%. Conclusion Burden that caused by cerebrovascular disease on individuals and the whole society was heavy which warrented further theoratical and practical studies on it.