| 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： |
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| 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 |
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| Dept. of Epidemiology and Health Statistics, Xiangya Public Health School, Central South University, Changsha, 410078 |
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| 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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