昆明市某区2011年手足口病住院病例疾病经济负担调查

In 2011, a District of Hand, Foot an d Mouthdisease in Hospitalized Cases of Disease Burden Studies

目的了解手足口病住院病例疾病负担,为开展防控工作提供依据。方法对114例住院手足口病病例的基本情况、参保情况和经济负担情况进行个案调查,用SPSS13.0统计软件对资料进行统计分析。结果 5岁以下儿童97例,所占比例最高,为85.09%,97例未参加任何医疗保险,参保率较低。平均住院天数7.3天,例均总费用7364.00元,门诊费438.50元,住院费5214.00元,直接医疗费用6104.50元,间接医疗费用644.00元。结论通过提高参保率,特别是流动儿童参保率、提高群众防病意识以及提高县乡级医院救治能力将有利于减少手足口病病例的经济负担。

OBJECTIVE To learn disease burden of hand, foot and mouth disease in hospitalized cases, and to provide a basis for the prevention and control work. METHODS This survey investigated 114 cases of hand, foot and mouth disease in hospitalized cases of in a certain area, including basic situation, insured and economic burden of the situation, and did case investigation. Using SPSS13.0 statistical software for statistical analysis. RESULTS The children of less than 5 years old have 97 cases, the proportion of up to 85.09%, 97 patients did not participate in any health insurance, the insured rate is very low in these children. Average hospital stay was 7.3 days, the total cost of 7 364.00 yuan, including outpatient charges 438.50 yuan, hospital charges 5 214.00 yuan, the costs of direct medical 6 104.00 yuan and costs of medical expenses of 644.00 yuan. CONCLUSIONS Increasing insured rate , especially increasing migrant children insured rate, raising public awareness of disease prevention and improving treatment capacity of the township level, the county level hosoital, w ill be beneficial to reduce the economic burden of diarrhea cases.