烟台市2013-2014年水痘患者经济负担及影响因素分析

Analysis on the economic burden of patients with varicella and its influencing factors in Yantai in 2013-2014

目的分析烟台市2013-2014年水痘患者疾病经济负担及其影响因素,为政府制定公共卫生政策提供依据。方法采用分层随机抽样方法抽取中国疾病预防控制信息系统报告的烟台市2013-2014年水痘患者741例,通过对患者进行随访和调查医院收费系统,确定患者的各项经济负担。采用SPSS 18.0进行统计分析,门诊患者组间费用的比较用t检验,住院患者组间费用的比较用秩和检验,P<0.05为差异有统计学意义。结果门诊患者平均总费用为(701.14±370.29)元,城区患者花费高于农村,差异有统计学意义(t=11.87,P<0.01),≥15岁患者花费高于<15岁患者(t=2.26,P=0.02),性别间差异无统计学意义(t=0.65,P=0.52)。就诊医院级别高、就诊次数多的患者费用较高。住院患者平均总费用2 034.02(1 570.01~3 062.75)元,男性总花费高于女性,差异有统计学意义(Z=2.12,P=0.03),≥15岁患者花费高于<15岁患者,差异有统计学意义(Z=2.54,P=0.01),城乡间差异无统计学意义(Z=1.37,P=0.17)。结论烟台市水痘患者疾病经济负担较重,是否住院、患者年龄、就诊医院级别、就诊次数以及地区差异为影响疾病花费的主要因素。

Objective To discuss the economic burden and its influencing factors of patients with varicella in Yantai from 2013 to 2014,to provide scientific evidence for the government to make public health policy.Methods A stratified random sampling method was used to select 741 cases reported in CDC disease information system from Yantai city,the economic burden of patients was determined by follow up surveys and by checking the charging system of the hospital.Student t test and rank sum test were used for data statistical analysis. Results The average total cost of outpatient was（701.14±370.29）yuan,which was higher among patients from urban areas and patients from rural areas（t=11.87,P〈0.01）.There was significantly difference between patients aged 15 and loder and youger than 15 years old（t=2.26,P=0.02）.There was no difference of cost between male and female cases（t=0.65,P=0.52）.Patients who went to higher level of hospitals or had multiple visits usually spent more money.The average total cost of inpatients was 2 034.02（1 570.01-3 062.75）,the total costs of male patients and patients aged 15 and older were significantly higher than that of females（Z=2.12,P=0.03）and of those younger than 15 years old（Z=2.54,P=0.01）.There was no statistically significant difference of total cost between patients from urban and rural areas（Z=1.37,P=0.17）. Conclusions The economic burden of patients with varicella in Yantai is heavy,which is closely related to hospitalization,age,hospital level,number of visit and regional differences.