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北京地区六种癌症患者的诊疗情况和疾病经济负担分析

胡广宇, 毛阿燕, 董佩, 严晓玲, 邱五七

胡广宇, 毛阿燕, 董佩, 严晓玲, 邱五七. 北京地区六种癌症患者的诊疗情况和疾病经济负担分析[J]. 肿瘤防治研究, 2015, 42(02): 171-176. DOI: 10.3971/j.issn.1000-8578.2015.02.016
引用本文: 胡广宇, 毛阿燕, 董佩, 严晓玲, 邱五七. 北京地区六种癌症患者的诊疗情况和疾病经济负担分析[J]. 肿瘤防治研究, 2015, 42(02): 171-176. DOI: 10.3971/j.issn.1000-8578.2015.02.016
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HU Guangyu, MAO Ayan, DONG Pei, YAN Xiaoling, QIU Wuqi. Discovery Approach and Economic Burden of Six Kinds of Common Cancers Patients in Beijing[J]. Cancer Research on Prevention and Treatment, 2015, 42(02): 171-176. DOI: 10.3971/j.issn.1000-8578.2015.02.016
Citation: HU Guangyu, MAO Ayan, DONG Pei, YAN Xiaoling, QIU Wuqi. Discovery Approach and Economic Burden of Six Kinds of Common Cancers Patients in Beijing[J]. Cancer Research on Prevention and Treatment, 2015, 42(02): 171-176. DOI: 10.3971/j.issn.1000-8578.2015.02.016
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北京地区六种癌症患者的诊疗情况和疾病经济负担分析

  • 100020 北京，中国医学科学院医学信息研究所/卫生政策与管理研究中心

基金项目: 北京市卫生局委托项目
详细信息
    作者简介:

    胡广宇（1988-），男，硕士，研究实习员，主要从事公共卫生、卫生政策的研究

    通信作者:

    邱五七，E-mail:qiu.wuqi@imicams.ac.cn

  • 中图分类号: R73-31

Discovery Approach and Economic Burden of Six Kinds of Common Cancers Patients in Beijing

  • Institute of Medical Information/Center for Health Policy and Management, Chinese Academy of Medical Sciences, Beijing 100020, China

摘要

    摘要
  • 摘要: 目的 分析北京地区六种癌症患者的诊疗情况和疾病经济负担，为癌症防控提供政策建议。方法 对北京地区四家医院癌症患者的诊疗情况和医疗费用以及其他相关信息进行问卷调查。结果 49.9%的被调查对象为北京本地患者；80.2%的患者最初因自感身体不适或异常进而主动就医后确诊发现患病；北京患者大肠癌次均住院医疗费用最高（50 885.1元），食管癌次均非医疗费用最高（6 596.5元）；癌症患者家庭灾难性卫生支出总体发生率为60.1%。结论 因身体不适主动就医是发现癌症的主要方式，癌症患者的经济负担较重而基本医疗保险对其保障水平有限。建议将癌症高危人群评估纳入基本公共卫生服务项目，调整报销政策提高基本医疗保险对癌症患者的补偿水平。

     

    Abstract: Objective To analyze the discovery approach and economic burden of six kinds of common cancers patients in Beijing and to provide policy advice to cancer control. Methods The questionnaire survey was conducted to obtain discovery approach，treatment costs and other related information of cancer patients in four hospitals in Beijing. Results 49.9% of the respondents were local patients from Beijing；80.2% of the patients were firstly found until diagnosed due to discomfort symptoms; for average hospitalization medical costs in Beijing，colon cancer was the highest(￥50885.1/time)，meanwhile，for average non-medical costs，esophagus cancer was the highest(￥6596.5/time). Overall incidence of catastrophic health expenditure in cancer patient families was 60.1%. Conclusion The most reported discovery approach of cancer was seeing doctor when the patient felt unwell. Economic burden for cancer patient is high, meanwhile the compensation level of basic health insurance for the patient is still limited now. The risk assessment of cancer for high-risk population should be integrated into primary public health service. The reimbursement policy should be adjusted to improve the compensation level of basic health insurance for the cancer patients.

     

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    • 参考文献(8)
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出版历程
  • 收稿日期:  2014-06-03
  • 修回日期:  2014-10-16
  • 刊出日期:  2015-02-24

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