2014年山东省青岛市201例手足口病重症病例经济负担调查

Investigation on economic burden caused by severe hand-foot-mouth disease in Qingdao,2014

目的了解山东省青岛市手足口病重症病例的经济负担,分析其影响因素,寻求减轻经济负担的方法和途径。方法选取国家疾病监测信息报告系统中2014年青岛市报告的手足口病重症病例,采取问卷调查及医院收费系统查询相结合的方法,收集病例就医过程、相关费用等信息,估算手足口病重症病例经济负担。结果共调查手足口病重症病例201例,总经济负担为3 736 707元,其中,直接经济负担为3 347 603元,间接经济负担为389 104元。多因素logistic回归分析结果表明,手足口病重症病例经济负担的主要影响因素是病原学类型、住院前就诊医疗机构数量、确诊医疗单位。结论青岛市手足口病重症病例的经济负担较重。提高参保率和基层医疗单位的重症手足口病诊疗能力,控制和降低发病率将有效减轻手足口病对社会的经济负担。

Objective To understand the economic burdens caused by severe handfoot and mouth disease（ HFMD） and its influence factors in Qingdao and explore the method and approach to reduce the economic burden. Methods Questionnaire survey and checking hospital fees system were combined about the disease history,economic burdens of HFMD cases reported in Qingdao in 2014. Results A total of 201 severe HFMD cases were surveyed. The total economic burden were 3 736 707yuan（ RMB） with the direct economic cost of 3 347 603 yuan（ RMB） and indirect cost of 389 104 yuan（ RMB）.Multivariate logistic regression analysis indicated that the influence factors for economic burden included pathogen type,number of medical care seeking before hospitalization and medical institution where the diagnosis was made. Conclusion The economic burden caused by HFMD was heavy in Qingdao. It is necessary to increase the medicare coverage,improve the diagnosis and treatment of severe HFMD in basic-level clinics and control the incidence of HFMD to reduce the economic burden caused by HFMD to society.