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[某矿业集团煤工尘肺疾病负担分析]

[Analysis of the burden of coal worker's pneumoconiosis disease in a mining group].

作者信息

Cui F T, Shen F H, Chang C F, Xu J, Tang G Y, Jiao G L, Gao W, Xu X H, Ding X P

机构信息

Huaibei Mining Co., Ltd. Occupational Disease Prevention and Control Hospital, Huaibei 235000, China.

School of Public Health, North China University of Science and Technology, Tangshan 063000, China.

出版信息

Zhonghua Lao Dong Wei Sheng Zhi Ye Bing Za Zhi. 2020 Apr 20;38(4):282-285. doi: 10.3760/cma.j.cn121094-20190107-00011.

Abstract

To provide scientific basis for the prevention and control of pneumoconiosis and the formulation of relevant policies, this paper discusses the loss of health life and economic loss caused by coal worker's pneumoconiosis in a mining group. From March to October 2017, 1262 cases of coal worker's pneumoconiosis were diagnosed in a mining group from 1972 to 2013. The direct and indirect economic losses are calculated by the step-by-step model method. Direct economic losses include medical expenses, one-time disability allowance, disability allowance, funeral allowance, one-time work death allowance, living and nursing expenses, food allowance, pension for supporting relatives and transportation expenses, etc. Indirect economic losses includes loss of social productivity, additional training fee for new employees, transportation fee for accompanying family members, loss of social productivity of accompanying family members, loss of production suspension and production reduction, etc. Life table method was used to calculate the loss of social productivity caused by coal worker's pneumoconiosis. All 1262 coal worker's pneumoconiosis patients were male. In the stage of pneumoconiosis, 95.40% (1204/1262) of the first stage of pneumoconiosis and 42.62% (538/1262) of the seventh stage of disability. The age of diagnosis (22.02-71.33) was 47.38 years on average. 1262 coal worker's pneumoconiosis patients caused a total of 9068.54 years of health life loss, of which YLD accounted for 93.56% (8484.69/9068.54) . The loss of YLD (0.06-33.30) years in 1262 coal worker's pneumoconiosis patients was 6.70 years per capita. The total economic loss of 1262 coal workers with pneumoconiosis was 2842185447.70 yuan, with a per capita of 2252127.93 yuan. The direct economic loss accounted for 81.59% (2318990168.46/2842185447.70) , which was 4.42 times of the indirect economic loss. Among the direct economic loss per capita, medical expenses accounted for a large proportion of 50.04% (919510.84/1837551.64) . The per capita indirect economic loss is 414576.29 yuan. The loss of social productivity accounted for 56.18% (232908.95/414576.29) . Coal worker's pneumoconiosis causes heavy economic burden and serious loss of social productivity.

摘要

为尘肺病的防治及相关政策的制定提供科学依据,本文探讨了某矿业集团煤工尘肺所致的健康生命损失和经济损失。2017年3月至10月,对某矿业集团1972年至2013年期间诊断的1262例煤工尘肺病例进行研究。采用逐步模型法计算直接和间接经济损失。直接经济损失包括医疗费、一次性伤残补助金、伤残津贴、丧葬补助金、一次性工亡补助金、生活护理费、伙食补助费、供养亲属抚恤金和交通费等。间接经济损失包括社会生产力损失、新员工额外培训费、家属陪护交通费、家属陪护社会生产力损失、停产减产损失等。采用寿命表法计算煤工尘肺所致的社会生产力损失。1262例煤工尘肺患者均为男性。在尘肺病期,一期尘肺病占95.40%(1204/1262),七级伤残占42.62%(538/1262)。诊断年龄为22.02~71.33岁,平均4

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