Let it be " The candy " Economic account

Let it be " The candy " Economic account
Let it be " The candy " Economic account
Staff reporter Li TianShu November 14 is " Day of diabetes of the United Nations " . Our country is one of the ill countries with fastest-rising in rate of global diabetes. According to the estimation by international diabetic alliance, in 2007, the diabetic of our country has already been up to 39,800,000 people, be up to 59,300,000 people in 2025, diabetes has already become China's serious public health problem. " the candy is born " Becoming heavier, have promoted the rise of the hospitalization cost directly too. Once ill, the treatment will be extended for all one's life. Get in time treating, may cause amputation, lose one's sight, neuritis, the intersection of renal function and depleted and the intersection of heart and the intersection of brain and the intersection of vascular disease,etc. and emergence of complication. The lighter lie in bed temporarily, getting heavy deformity and even death all one's life perhaps. Diabetes, as a kind of non- infective chronic disease, are being paid close attention to by the society. The intersection of Peking University and diabetic the intersection of centre and common director, China cure the intersection of SCTE and the intersection of endocrine and discipline, president of branch, doctor of supersession, set up the agricultural professor to point out: "We should realize, the danger of diabetes is not merely to patient, this will be increasingly heavy society and financial burden. " " the candy is born " If spend making out a bill carefully for the diabetic treatment more heavily, we will find helplessly, one of the fastest chronic diseases that diabetes has already become to treat the expenses to rise. At the end of last year, Britain's " lancet " magazine publishes the article continuously, remind developing countries to be " given a heavy blow to by increasing chronic disease " ,The main one is diabetes among them. Because the going on disease characteristic that diabetes has, erupt disease simultaneously and treat the expenses hugely its later stage, will bring very great financial burden to individual and family. In addition, chronic disease with high, serious this kind of incidence is also in close relations with other chronic disease such as hypertension, coronary heart disease. Entire PLA diabetes treat in the center director, PLA man the 306th Professor Xu ZhangRong, Vice President of hospital,etc. passes to the analysis of " statistical yearbook of China's hygiene " and national hygiene service census data of 1993 and 2004, the ones that find diabetes " The book figure " Already very huge. For this reason, he writes articles to point out, the direct hospitalization cost of diabetes has already exceeded the average annual growth rate of GDP and national hygiene all-inclusive cost of our country of the same period, occupy the second place in all among the chronic diseases investigated. Compared with nondiabetic patient, the diabetic's annual direct hygiene expenses are relatively high too, among them, fee of clinic, cost of hospitalization and expenses for medicine take most proportion. 2 type diabetes amalgamates blood capillary, trunk pathological change and patient amalgamating two kinds of pathological changes at the same time, direct hospitalization cost does not about have the complication patient's 3.2, 4.1 times of and 10.4 times its year separately. One the intersection of hygiene and economist introduce, diabetic cost calculate and assign cost direct cost, indirect cost and spiritual cost. The direct cost includes the expenses of it is in hospital to treat diabetesing, clinic and urgent, chronic complication. The indirect cost includes temporary sexual dysfunction, permanent deformity and salary losses,etc. that cause too early die caused by diabetes and complication. Compared with the calculating of direct cost, it is more difficult to calculate indirect cost, the academia has different understanding too, for example can not reflect potential value,etc. that individual creates. But even the direct medical fee which calculates diabetes, the figure is very surprising. Relevant result of study show, in the past 11 years, of our country diabetes medical the intersection of fee and average annual growth rate up to 19.9% directly, and 81% of the relevant medical fee of diabetes is used for treating various complications. " do accounts " Meaning China Preventive Medicial Science Inst chronic disease and health promotion centre Liu KeJun point out, the economic losses that quantized diabetes causes, can prevent and control the important position relative to other diseases of diabetes clearly. The economic workers of hygiene of U.S.A. take the lead in studying diabetes in terms of economics at the beginning of the eighties of last century. In 1992, science and concurrently medical Dr., RichardKahn of director, of the U.S.A. diabetic association,et al. pointed out in article of " direct cost of diabetes and indirect cost ": "In 1992, only accounted for the whole diabetic with beauty mouth several 2.8% but consumed 5.8% of the direct cost of U.S.A.'s personal health care; The diabetic's disease direct cost is 4 times of the nondiabetic patient's. " The statistical data in 1997 have revealed more detailed result of study, and still quotation until today: It was 98 billion dollars that U.S.A. used for the cost of diabetes that year, 44 billion dollars among them were consumed for direct medical treatment, 54 billion dollars, in order to spend indirectly. It is 10071 dollars that the diabetic patient's per person consumes medical treatment, and the nondiabetic patient's per person's medical treatment is cost is 2699 dollars. The diabetic patient accounts for 3.8% of U.S.A.'s total population, but direct medical treatment is spent accounts for 5.8% of the whole medical expenditure. In spending indirectly, the cost of cripple that diabetes causes is 37,100 million dollars, the death costs about 16,900 million dollars. 18 year old lose 8.3 workday 64 -year-old diabetes patient, but patient to have diabetes lose 1.7 workdays only. Similar research is launched in countries such as Germany, Britain, France, Canada, Denmark,etc. extensively too. For example one investigation of state, New South Wales of Australia, verify 5% diabetic consume this area 10% the intersection of hygiene and expense in hospital. The tactics of prevention and control calculated " if we calculate the economic account, it is the most economical to intervene in early days. " The discipline sets up pointing out agriculturally, the diabetic's early discovery, diagnosing early and standardizing the treatment in early days, adhere the principles of putting prevention first, it is the best tactics. The cost accounting in economics is the important factor of facilitating decision to change. Several weeks ago, Ministry of Public Health prevented and cotrolled the office to announce a copy of data: In 2003, the direct hospitalization costs of national hypertension, diabetes, cerebrovascular diseases, heart disease, malignant tumour and 5 kinds of chronic disease have reached 120,900 million yuan. In 2005, World Health Organization released <>, China is from 2005 to 2015, cause death too early lost the intersection of national income and valuation because of diabetes, heart disease, apoplexy ' Calculated by purchasing power parity) ,Will reach 558 billion dollars. Statistics reveal, most heart disease relate to apoplexy and diabetes. This report still provides such a data: If reduce the mortality of chronic disease by 2% every year on the basis of existing trend in the following 10 years, will bring the accumulative total economic benefits of 36 billion dollars to China. China that held not long ago cures at the annual meeting of supersession doctor of SCTE's endocrine, many diabetic domain expert's flags The flag is appealed for distinctly, should make the battle of prevention and control of this diabetes, it is necessary the whole society is diligent, take the way intervened in early days. Have a look later, 1980, of our country adult 0.61% only in ill rate in diabetes, belong to diabetes to be low to lead country while being ill. But only passed for 15 years, diabetes ill rate increase 3.2% to already 1995, 5 times those of 1980, and American adult ill to lead same increasing degree in 35 years diabetes have. Why begin to increase in China with higher speed diabetes is ill to lead? This seemingly simple problem, but not the problem that a pure medical field can be answered, it involves the changes of more complicated social and economic relation, life style, environmental factor,etc.. The discipline stands and points out agriculturally, a lot of people thought in the past diabetes of China and western countries had illness coming on there are differences, it seems nowadays that China's economy is developed fast, the overweight person increases, more and more similar to the western countries. The nutrition professor BarryPopkin of U.S.A. North Carolina university writes articles to point out on " hygiene affairs " magazine, 25% of the Chinese adults are overweight or fat nowadays, though this figure is lower than that of countries such as Egypt, Mexico,etc., but the growth rate of China is faster. In the past 10 years, more than 1.2% of Chinese adult becomes overweight or fat every year, if does not take measures to solve this problem, fat and overweight adult of China will double by 2028. But the data that Ministry of Public Health announces respond the bright prospect prevented and controlled actively, intervened in early days: Reduce dangerous and behavioral first class prevention to diabetes, can reduce 35%~60% of the morbidity; Launch " find early, treat early " Second prevention,can last kidney declining, 50% heart cerebrovascular diseases and 60% amputation,etc. complications seriouses chronic of losing one's sight, 30% of 40%~50%, the medical fee of the persons who there is complication is 5 times of the person who doesn't have complication. " reverse " The test is prevented " Check " How to get to the way of positive intervention of diabetes? Can " reverse " (used at the end of a question)? In Beijing, a group of diabetic experts are intervening in earlier stage and reversing, studying, testing an item of diabetes. First divide into groups, intervene, prevent clinical trial of diabetes from born in China by way of simple life at random in the world, prevented prospectively and studied by diabetes of Daqing which Chinese-Japan Friendship Hospital and Daqing oil field general hospital carried on together in middle period of the eighties of last century. The research shows, intervene by way of keeping on a diet and increasing the physical exertion for the life of the main content, can reduce 42% of diabetic morbidity in the high-risk group. Diabetic prevention program (DPP) of U.S.A. quoted far and wide later Prevent from studying (DPS) with Finnish diabetes ,All the inspiration studied by Daqing and the design was paid. However, the result which Daqing studies was not turned into the public health to make policy finally, follow-up study has been cut off too. Daqing has tested and has been forgotten gradually. Person in charge Ji LiNong of the project says, picks up this test again, because this way should not be abandoned. This research of starting in Beijing at present, will launch following and intervening to 2000 diabetes previous patients, having attracted 31 hospitals to participate in, it is medical organizations at the basic level to be many. The discipline sets up and hopes to sow the seed putting prevention first out agriculturally in the medical personnel at the basic level. Because of " Do accounts " ,Because of the research of hygiene economics, will promote an important " catch hands " that more medical personnels understood and prevented the hygiene expenses from increasing too fast directly ,Pay close attention to these more " Burn the money " Chronic disease. This kind of sense of urgency is stronger and stronger. The discipline sets up pointing out agriculturally: "If does not take the positive measure, chronic disease such as diabetes will engulf the achievement produced in our economic development slowly. " As to the thing that the diabetic says, intervening the policy will enable their benefit deeply of theirs in early days, and will change the basic tactics that the policy of prevention and control of chronic disease of our country is made finally to the hygiene economics research of diabetes.


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