北京市城区精神病医院焦虑障碍患者疾病经济负担的初步调查

Pilot evaluation of economic burden of anxiety disorders in patients from psychiatric hospitals in Beijing urban area

目的探讨焦虑障碍患者的疾病经济负担，为制定有效的疾病防治策略提供经济学依据。方法采用卫生经济学方法，通过自行设计的门诊和住院焦虑障碍患者疾病经济负担调查问卷，回顾性收集北京市城区焦虑障碍患者的疾病经济负担资料，测算其直接经济负担和间接经济负担。结果（1）焦虑障碍患者的年人均疾病经济负担为16509元，其中直接经济负担占63．5％（10490元），问接经济负担占36．5％（6019元）；（2）患者的单次门诊费用中位数为254元，单次住院费用中位数为16893元；（3）二级精神病医院的患者单次门诊费用中位数为145元，三级精神病医院的患者单次门诊费用中位数为546元。结论焦虑障碍给患者及其家庭带来沉重的疾病经济负担。

Objective To evaluate costs of anxiety disorder and to provide economic evidence for disease prevention. Method Using health economic method, a retrospective costs-of-illness study was carried out. Data on costs of anxiety disorder were gathered by using a self-designed questionnaire and the direct and indirect costs were calculated. Results （ 1 ） The yearly average costs of anxiety disorders per patient amounted to 16 509 Yuan, in which 63.5% for direct costs （ 10 490 Yuan） and 36. 5% for indirect costs （6019 Yuan）. （2） Median costs of anxiety disorder were 254 Yuan for an outpatient service visit and 16 893 Yuan for hospitalization once. （3） The median costs of an outpatient service visit were 145 Yuan in the secondary psychiatric hospitals and 546 Yuan in the tertiary psychiatric hospitals. Conclusion The results indicate that anxiety disorder cause a heavy load to both the patients and their families.