深圳市乙肝住院病人年直接经济负担及对家庭经济影响分析

tudy on the Direct Economic Burden of Hepatitis B and its Economic Impact on Family in Shenzhen City

目的:明确急慢性乙肝、乙肝所致肝硬化和肝癌病人年直接经济负担,分析其对家庭经济影响。方法:从在医院住院治疗的乙肝病人中选取调查对象进行问卷调查,并查阅调查对象出院病历登录住院费用。结果:重型乙肝、原发性肝癌、肝硬化失代偿期、代偿期、慢性乙肝和急性乙肝的年直接费用分别为7.72万元、6.64万元、5.21万元、3.35万元、2.16万元和1.91万元。直接费用占家庭年收入的比重从慢性乙肝16.40%上升到重型乙肝94.80%,分析其占人均年收入的比重,原发性肝癌最高,为3.26倍。结论:乙肝给家庭带来沉重的经济负担,积极防控乙肝病毒感染具有巨大的社会效益和经济效益。

Objective：To investigate the direct economic burden of patients with acute and chronic hepatitis B,cirrhosis and liver cancer caused by hepatitis B virus,and to analysis the impact on family economic.Methods：Subjects were selected from hepatitis B patients who were treated in hospital.Questionnaire survey was conducted and hospitalization expenses were collected from the hospital record.Results：The direct costs of severe hepatitis B,hepatocellular carcinoma,decompensated cirrhosis,compensated cirrhosis,chronic hepatitis B and acute hepatitis B were 77.5 thousand yuan,66.4 thousand yuan,52.1 thousand yuan,33.5 thousand yuan,21.6 thousand yuan and 19.1 thousand yuan,respectively.The proportion of direct cost accounted for annual household income was from 16.40% of chronic hepatitis B to 94.80% of severe hepatitis B.As far as the proportion of total annual per capita income,the direct cost of primary liver cancer was the highest,which was 3.26 times.Conclusion：Hepatitis B caused considerable burden to the family,indicating that the control of hepatitis B virus infection would bring huge potential benefits.