伊朗按人口因素划分的事故成本分析
Cost Analysis of Accidents according to Demographic Factors in Iran.
作者信息
Hashempour Reza, Tahmasebi Ali, Veysi Mohammad, Amini Milad, Tavakoli Nader
机构信息
Department of Health Management and Economics, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.
Trauma and Injury Research Center, Iran University of Medical Sciences, Tehran, Iran.
出版信息
Iran J Public Health. 2019 Jul;48(7):1346-1353.
BACKGROUND
The first cause of death and disability constituting to the burden of disease in Iran has been accident and injury incidents. Young people are more at risk, these accidents have a negative effect on the national gross domestic product (GDP), on the one hand, and they increase the costs of the health system on the other hand. Therefore, this study aimed to analyze the costs and epidemiological pattern of accidents.
METHODS
The study variables in the first 8 months of 2016 included from Tehran Province, Iran; age, sex, how to transfer to the hospital, consequences of an accident, the injured area, and costs. Overall, 400 cases were investigated by referring to the patients' files and deriving the intended data. SPSS software used to analyze the data and statistical tests of t-test and ANOVA were applied.
RESULTS
Most accidents have happened in summer months of Jun, Jul and Aug. Most of the files (48%) were related to the age group of 16-30. The mean cost was 9024.82 dollar. In total, 39% of the road accidents had occurred by motorcycle and 90.8% of the patients discharged from the hospital.
CONCLUSION
Since about half of the traffic accidents were related to the age of 16 to 30 who were the active population of a community, therefore, any disability or death in these groups could cause an economic burden on the community and increase DALY. Thus, it appears essential to develop proper programs such as education for appropriate driving and strict rules for giving driving license to these ages.
背景
在伊朗，构成疾病负担的首要死因和致残原因是事故和伤害事件。年轻人面临的风险更高，这些事故一方面对国家国内生产总值（GDP）产生负面影响，另一方面增加了卫生系统的成本。因此，本研究旨在分析事故的成本和流行病学模式。
方法
2016年首8个月的研究变量来自伊朗德黑兰省；包括年龄、性别、转院方式、事故后果、受伤部位和成本。总体而言，通过查阅患者档案并获取预期数据，对400例病例进行了调查。使用SPSS软件分析数据，并应用t检验和方差分析等统计检验。
结果
大多数事故发生在6月、7月和8月的夏季月份。大多数档案（48%）与16 - 30岁年龄组有关。平均成本为9024.82美元。总的来说，39%的道路事故是由摩托车造成的，90.8%的患者已出院。
结论
由于约一半的交通事故与16至30岁的人群有关，而这部分人群是社区的活跃人口，因此，这些群体中的任何残疾或死亡都可能给社区带来经济负担并增加伤残调整生命年（DALY）。因此，制定适当的计划，如进行适当驾驶教育以及对这些年龄段发放驾驶执照制定严格规定，似乎至关重要。
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