儿科气管支气管外体经济负担分析
Wen-Yuan Wang1, Tao Zhang1, Wan-Yi Li1
1Pediatric Respiratory Department II, Gansu Provincial Maternity and Child-Care Hospital, Lanzhou, China.
Frontiers in public health
|April 14, 2025
概括
儿科气管支气管外体吸收 (TFBA) 对农村和少数民族家庭造成不成比例的负担,在某些地区,费用占收入的48%以上. 这突显了紧急医疗保健的可获得性和可负担性的社会经济差异.
科学领域:
- 儿科急诊医学 儿科急诊医学
- 卫生经济学 卫生经济学
- 公共卫生政策 公共卫生政策
背景情况:
- 气管支气管外体吸收 (TFBA) 是一个关键的儿科紧急情况.
- 现有的研究重点是诊断和治疗,忽视了社会经济影响.
- 了解经济负担对于资源有限的环境至关重要.
研究的目的:
- 评估中国甘省儿科TFBA管理的直接医疗成本和更广泛的社会经济影响.
- 确定TFBA经济负担中的城乡和区域差异.
- 在欠发达地区为儿童紧急情况提供医疗保健政策的信息.
主要方法:
- 从951个儿科TFBA病例 (2017-2021) 的统计数据分析.
- 专注于甘省一家省级三级医院的呼吸科.
- 纳入标准确保了与儿科TFBA管理的相关性.
主要成果:
- 农村家庭面临相对于收入的住院费用 (36.31%) 与城市家庭 (11.91%) 相比显著更高.
- 少数民族聚居的农村地区承担了最沉重的经济负担 (48.06%的成本收入比率).
- 在手术费用方面没有观察到城市和农村的显著差异,但住院费用对农村人口的影响不成比例.
结论:
- 儿科TFBA给儿童带来了巨大的经济负担,特别是在脆弱的农村和少数民族人口身上.
- 经济影响的严重城乡差异需要有针对性的医疗保健干预措施.
- 调查结果强调,需要制定政策来解决儿科急诊医疗中的社会经济因素.
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