Analysis of the diagnotic results and complications of pneumoconiosis patients with different insurance types
	    		
		   		
		   			
		   		
	    	
    	 
    	10.3760/cma.j.cn121094-20190927-00461
   		
        
        	
        		- VernacularTitle:不同保险类型尘肺病患者的诊断结果及并发症分析
 
        	
        	
        	
        		- Author:
	        		
		        		
		        		
			        		Ying LI
			        		
			        		
			        		
			        			1
			        			
			        		
			        		
			        		
			        		
			        		;
		        		
		        		
		        		
			        		Guiqian LIU
			        		
			        		;
		        		
		        		
		        		
			        		Wei YAN
			        		
			        		;
		        		
		        		
		        		
			        		Xiaohua ZHANG
			        		
			        		;
		        		
		        		
		        		
			        		Long YANG
			        		
			        		;
		        		
		        		
		        		
			        		Yanxiang YU
			        		
			        		;
		        		
		        		
		        		
			        		Guangming LUO
			        		
			        		
		        		
		        		
		        		
		        		
		        			
			        		
			        		Author Information
			        		
		        		
		        		
			        		
			        		
			        			1. 410007 长沙,湖南省职业病防治院
			        		
		        		
	        		
        		 
        	
        	
        	
        	
        		- Keywords:
        			
	        			
	        				
	        				
			        		
				        		Pneumoconiosis;
			        		
			        		
			        		
				        		Medical insurance;
			        		
			        		
			        		
				        		Diagnostic results;
			        		
			        		
			        		
				        		Complications
			        		
			        		
	        			
        			
        		
 
        	
            
            
            	- From:
	            		
	            			Chinese Journal of Industrial Hygiene and Occupational Diseases
	            		
	            		 2020;38(10):736-738
	            	
            	
 
            
            
            	- CountryChina
 
            
            
            	- Language:Chinese
 
            
            
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		        	Abstract:
			       	
			       		
				        
				        	Objective:By comparing the diagnotic results and complications of pneumoconiosis patients with work-related injury insurance and non-work-related injury insurance, to provide reference for improving the medical insurance of pneumoconiosis patients.Methods:In May 2019, the diagnotic results and complications of 3204 patients with pneumoconiosis who were hospitalized in the second department of Hunan Prevention and Treatment Institute for Occupational Diseases from January 2017 to March 2019 were retrospectively analyzed.Results:Among the 3204 patients, 896 cases (28.0%) were in stage I, 790 cases (24.6%) were in stage II, and 1518 cases (47.4%) were in stage III. 1490 cases (46.5%) of pneumoconiosis patients have complications, mainly chronic obstructive pulmonary disease (COPD) (42.3%, 1354/3204) and lung infection (23.6%, 755/3204) . 584 cases (18.2%) were covered by work-related injury insurance, and the diagnosis of pneumoconiosis patients was mainly in the stage I (61.0%, 356/584) . 2620 cases (81.8%) were covered by non-work-related injury insurance, and the diagnosis of pneumoconiosis patients was mainly in the stage III (56.0%, 1466/2620) . The complication rate of non-work-related injury insurance patients (50.1%, 1312/2620) was higher than that of work-related injury insurance patients (30.5%, 178/584) (χ 2=73.72, P<0.01) . Conclusion:The inpatients with pneumoconiosis in Hunan Province are still mainly covered by non-work-related injury insurance, and the diagnotic period and complication rate are significantly higher than those of work-related injury insurance patients. Therefore, pneumoconiosis patients should be provided with medical security, early diagnosis and early intervention, to prevent and delay the occurrence of complications.