SARS patients in Guangzhou the burden of disease study.docx

SARSpatientsinGuangzhoutheburdenofdiseasestudySAKSpatientsinGuangzhoutheburdenofdiseasestudySARSpatientsinGuangzhoutheburdenofdiseasestudyAbstractObjectiveToestimatethesevereacuterespiratorysyndromeinGuangzhoucity(SARS)casesintheclinicaldiagnosisofdirectandindirecteconomicburdenofthefinancialburdenofacuteinfectiousdiseases,burdenofdiseaseestimatestoestablishways.MethodsDuringthe2003SARSoutbreakof1059casesofSARSconfirmedcasesofrelevantinformation.Pairsof399casesofpatientswhoarewillingtocopewithaquestionnairesurvey;todisabi1ity-adjusted1ifeyears(DA1.Ys)1andlossofworkingtimelostthroughhumancapitalapproachconvertedintoeconomiclosses,assesstheSARScasesinthedirectandindirecteconomiclosses.Results1059casesofconfirmedSARScasesinhospitalchargespercapita20223252millionaveragedaiIyhospitalcharges,112025amillion;339casesofS.*RSpatientsinoutpatientpercapitacostofo232o3yuan,thepercapitacostofreviewingyoy22ymillion;ontheirowntobuynutritionalsupplements,medicines,etc.22o2291Yuanpercapitaspending.ProjectionsinGuangzhouCityin200312y3casesofSARScasesinthedirecteconomicburdenof310a259eanyuan;SARSdeathsduetoprematuredeathcausedbyyearsoflifelost(Y1.1.s)forthe25o2al,theeconomiclossesloy92o3eanYuan;SARSpatientssurvivedanaverageofidlefor512a2d,theeconomiclossesforthe5aa2oymi11ioninindirecteconomiclossesof202a2ooeanYuan.Thereare3o22%ofrespondentsanswerediswillingtodumpal1hispropertytoavoidtheriskofSRS,showedthatpatientswithSRStothedamagecannotbemeasuredinmonetaryterms;another2223%ofpatientswou1dliketoreturnas1millionorabovearenotsufferingfromSARS.ConclusionintegrateddirectandindiredeconomicburdenofthefinancialburdenofclinicaldiagnosedSARScasesinGuangzhou,thetotaleconomicburdenof51a5203mi11ion,percapitao203eanYuan.Keywords:theburdenofdiseaseGuangzhouisChinasearliestoccurrenceofsevereacuterespiratorysyndrome(SRS)epidemicofthecityreportedatotalof12y3casesofconfirmedcases,accountingforIhccountrystotalcasesof2o20yr%.Therefore,tocarryoutSRSinGuangzhouCity,theburdenofdiseasestudytoestimatetheSRSpatientscausedbydirectandindirecteconomiclossesandsocio-economicimpact,youcandeterminetheprioritypublichealthproblem,theallocationofhealthresouixestodeveloppoliciesandhealthservicesbasisforthedevelopmentoftheoverallstrategyforinfectiousdiseasepreventionandtreatmentresearchtoprovidedata.ThispaperanalyzestheSRSpatientsinGuangzhou,thedirectandindirecteconomicburdenofthefinancialburden.Theresultsreportedasfollows.1Dataandmethods121Source(1)tocollectduringthe2003SARSoutbreakinGuangzhouCity,thehospitaitreated12confirmedcasesof1059casesofSARSbasicinformationonavarietyofmedicalexpensesduringhospitalization(dividedintodrugs,hospitalizationfees,inspectionfees,laboratoryservices,radiologycharges,oxygenfees,b1oodtransfusioncosts,treatmentcostsandotherexpenses,etc.);(2)developaunifiedquesIionnaire,useof-homemethodofinvestigation,339casesarewillingtocopewithconfirmedSRSpatientsinhospitalthanthecostofrelatedmedicalcostsandmissedworktimetoconductaquestionnairesurvey,includingthepurchaseofnon-prescriptionmedicines,nutritionalsupplements,rehabilitationequipment,cliniclossofworkingtime,resttimeofdischarge;(3)demographicdatafromtheGuangzhouHealthBureau,GuangzhouMunicipalStatisticsOfficetoprovide.122MethodsThestudyrecommendedbytheeordBankandeorldHealthOrganization,theburdenofdiseaseevaluationindex-disabi1ity-adjustedlifeyears(DA1.Ys)()1-2.Includingtheyearsoflifelostduetoprematuredeath(Yearsof1.ife1.ost,Y1.1.s),andyearsof1ifelostduetodisability(Years1.ivedwithDisablity,Y1.Ds).(1)Thedirecteconomicburden:Thedirecteconomicburden,includinghospitalization(inpatienttreatmentsumofvariousfeespaid),andotherhospital-relatedmedicalcosts(outpatientandreviewcosts;ontheirowntobuydrugs,healthcareproducts,rehabiIitationequipmentandotherexpenses).Theabovedatadirectlythroughstatisticalanalysisofsurveydata.(2)theindirecteconomicburden:SARSdeathsinlossofvalue,thatis,yearsoflifelost(Y1.1.s);SARSpatientssurvivelossofva1ueduetoSARSisanewinfectiousdiseaseisnotyetpossibletoestimatetheweightoftheirdisability,therefore,withthelossofworkingtimeaswcl1aseconomicEstimatedloss(lossofworkingtime,includinghospitalizationandafterdischargeresttime).UsedbythelifeexpectancyofresidentsofGuangzhouCityfrom2003tothecauseofdeath1ife-tableofSARS.(3)humancapitaiapproach（八）:Theabovedataareconvertedthroughhumancapitalapproacheconomicindicatorstocalculatethediseasecausedbyyearsof1ifelosttotheindirecteconomicburdenonsociety.Theformulaareasfollows:theeconomicburden=grossnationalproductpercapitaproductivity,*D1.Ys*weight(theweightineachagegroupproductivity,asfollows:0pIoageO215;15pooyearsold,o5p59yearsoldrespectively,O2a5,O2y:20-year-oldpdroppedtoO21;theproductivityofthetotalpopulationweightO25.thefailuretoobtaingrossnationalproductpercapita,GuangzhouCity,soinsteadofusingpercapitagrossdomesticproduct).Deathsinproductivity,economicloss=weight*Y1.1.sgrossdomesticproductpercapitasurvivalofcasesofeconomicproductivity,weightloss=grossdomesticproductpercapitaperday*lossofworkingtime(o)intangibleeconom