上海市肺炎链球菌住院患者的医疗费用研究

The analysis for inpatients cost of pneumococcal diseases in Shanghai

目的:了解上海肺炎链球菌病住院患者患病情况并分析上海地区侵袭性肺炎链球菌病的医疗费用情况和影响因素。方法 :通过查阅文献、上海地区人口学数据、相关文献和政策资料,收集上海地区全年龄段人群在侵袭性肺炎链球菌病(脑膜炎,菌血症和肺炎)的住院医疗费用数据,结合上海地区人口学进行统计和分析。结果 :2011年上海地区全年共有27 723例肺炎住院患者、250例脑膜炎住院患者纳入研究,肺炎和脑膜炎患者的平均住院日为13.00d和22.63d,住院次均总费用为10 971元和23 322元,其中药占比较高,在肺炎和脑膜炎治疗费用中均超过了50%。结论 :我国应当进一步推进临床路径试点,规范肺炎链球菌病的诊疗流程,控制药品的合理使用。

Objective：To analyze inpatients’ direct medical costs of pneumococcal diseases and their influencing factors in Shanghai. Methods：Systematic sampling was used to collect data on direct medical costs of inpatients with pneumococcal diseases and relevant statistics methods were used to analyze the data combining with health statistical yearbook. Results：There were 27 723 cases of pneumonia and 250 cases of meningitis in Shanghai in 2011 and no case of bacteremia was found. The average length of hospital stay was 13.00 days and 22.63 days for pneumonia and meningitis,respectively. The hospitalization expense of pneumonia and meningitis was 10 971 yuan and 23 322 yuan,respectively. Drug cost was an important part of pneumonia treatment,which counted more than 50%of the total expense. Conclusion：The government needs to further promote the pilot on clinical pathway,standardize the process of diagnosis and treatment of pneumococcal diseases and control rational use of pharmaceuticals.