Jianping Zhang, Chongsuvivatwong Virasakdi, Geater Alan
Department of Social Medicine, Faculty of Public Health, Kunming Medical College, Yunnan, People's Republic of China.
Southeast Asian J Trop Med Public Health. 2006 Sep;37(5):1034-9.
This study aimed to describe the severity of injury (RTI), length of stay, costs, financial burden, and sources of payment for RTI patients in the Kunming area, Yunnan Province, China. Information was collected from interviewing 420 patients admitted with RTI during January to May 2005 and from medical records reviewed of all the patients admitted from January to 30 May 2005. The costs and financial burden of road casualties on the medical sector resources were found to be large (median = RMB 94,496) compared to the average per capita monthly income of the Yunnan population (RMB 798). Most patients had injuries of moderate severity. Pedestrians and passengers had the highest Injury Severity Score (ISS). The mean payments out-of-pocket, from the government and by compensation were RMB 5320, 10,190 and 11,190, respectively. In addition to prevention of RTI, a suitable insurance system is needed in the country.
本研究旨在描述中国云南省昆明市地区道路交通伤害（RTI）患者的损伤严重程度、住院时间、费用、经济负担及支付来源。通过访谈2005年1月至5月期间收治的420例RTI患者，并查阅2005年1月1日至5月30日期间所有患者的病历收集信息。与云南省人均月收入（798元人民币）相比，道路伤亡给医疗部门资源造成的费用和经济负担巨大（中位数 = 94,496元人民币）。大多数患者为中度损伤。行人和乘客的损伤严重程度评分（ISS）最高。自费、政府支付和赔偿的平均金额分别为5320元人民币、10,190元人民币和11,190元人民币。除预防道路交通伤害外，该国还需要一个合适的保险体系。
