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罗珍胄,刘爱忠,丁春庭,尹 铿,周鹏翔,王揭晓,廖哲安,刘辉霞.湖南省脊髓损伤患者工伤康复的卫生经济学定量研究[J].中国康复医学杂志,2009,24(01):37~40
湖南省脊髓损伤患者工伤康复的卫生经济学定量研究    点此下载全文
罗珍胄  刘爱忠  丁春庭  尹 铿  周鹏翔  王揭晓  廖哲安  刘辉霞
中南大学湘雅公共卫生学院流行病与卫生统计学系,长沙,410078
基金项目:
DOI:
摘要点击次数: 2406
全文下载次数: 1961
摘要:
      目的:对湖南省因工伤所致脊髓损伤(SCI)患者的工伤康复进行投入和产出的定量研究。方法:收集2006年6月—2008年4月在湖南工伤康复医院进行住院康复治疗的49例SCI患者的住院和康复费用以及住院前后FIM、SDS和SAS评分结果,采用世界卫生组织的生存质量测定量表简表(WHOQOL-BREF)测定康复前后的生存质量(QOL),并转化成效用值(QALY),同时采用人力资本法对康复效益进行估算。结果:49例SCI患者经过工伤康复后,FIM评分,QOL评分显著提高(P<0.01),SDS评分、SAS评分显著降低(P<0.05,P<0.01)。工伤康复的成本效益比为1∶11.5,净效益为2548.79万元。结论:工伤康复可明显恢复SCI患者的生理功能,改善其抑郁和焦虑情绪,显著提高其生存质量,具有良好的社会效益和经济效益。
关键词:脊髓损伤  工伤康复  成本  效果  效用  成本效益比
A quantitative study of health economics on work injury rehabilitation of work-related spinal cord injury patients in Hunan province    Download Fulltext
Dept. of Epidemiology and Health Statistics, Xiangya Public Health School, Central South University, Changsha, 410078
Fund Project:
Abstract:
      Objective:To describe quantitative input and output of the work injury rehabilitation program on work-related spinal cord injury patients in Hunan province. Method:Collection of hospitalization and rehabilitation expenses, FIM, SDS and SAS scores in admission and discharge of 49 patients with SCI in Hunan Industrial Rehabilitation Hospital were performed. The WHOQOL-BREF life scale was used to measure the quality of life and transformed to QALY. The cost-benefit ratio of the program was estimated with human capital method. Result:After rehabilitation, 49 patients′ scores of FIM and WHOQOL-BREF life scale increased obviously, and the scores of the SDS and the SAS reduced obviously(P<0.01). The cost-benefit ratio was 1∶11.5, and the net benefit was 25487876.6 yuan RMB. Conclusion:The SCI patients′ physiological function, self-care ability and life quality improved obviously and their depression and anxiety relieved to a certain extent after rehabilitation. There were high economic and social benefit.
Keywords:spinal cord injury  work-related injury rehabilitation  cost  effectiveness  utility  cost benefit ratio
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