中国帕金森病患者的经济负担及相关因素调查研究

Investigation on the economic burden and related factors of Parkinson's disease in China

摘要:

目的  研究中国帕金森病（PD）患者的经济负担现状及其影响因素。方法  对495例帕金森病例进行问卷调查，掌握患者及其家庭的基本资料以及2014年全年治疗PD支出费用的情况。应用Hoehn-Yahr分级量表来评定患者病情严重程度。采用SPSS 22.0进行相关性分析和多元回归分析，判断中国PD患者疾病经济负担的现状及其相关影响因素。结果  中国PD患者年平均经济负担为29 718元，其中直接医疗费用平均值为21 035元，直接非医疗费用平均值为6 042元，间接费用平均值为2 641元。调查样本指标相关性后发现，患者的地区分布、家庭收入情况以及参保情况对部分费用有影响。多元回归分析显，PD患者的病情严重程度及文化程度影响PD经济负担。结论  目前中国PD患者的疾病经济负担非常重；患者的病情严重程度、地区分布、文化程度及家庭收入情况等因素在不同程度上影响着经济负担。

Abstract:

Objective To study the economic burden of the patients with Parkinson's disease (PD) in China and its influencing factors. Methods A total of 495 patients with Parkinson's disease were investigated. The basic data of the patients and their families, as well as the cost of PD expenditure in the whole year of 2014 were collected. Hoehn-Yahr grading scale was used to assess the level of the patient's condition. SPSS 22.0 correlation analysis and multiple regression analysis were used to determine the status of the economic burden of Chinese PD patients and its related influencing factors. Results The average annual economic burden of Chinese PD patients was 29,718 yuan, of which the average of direct medical cost was 21,035 yuan, and the average of direct non-medical costs was 6,042 yuan, and the average of indirect costs was 2,641 yuan. Survey sample indicators found that the relevance of the patient's regional distribution, family income and the insured situation on the part of the cost of the impact. The multiple regression analysis showed that the severity of illness and the degree of education influence the economic burden of PD patients. Conclusions The economic burden of the disease is very serious in Chinese PD patients. The severity of the disease, regional distribution, educational level, family income and other factors affect the economic burden in varying degrees.