北京市朝阳区2021-2022年水痘门诊病例经济负担及其影响因素

Economic burden of varicella outpatients and factors influencing economic burden in Chaoyang district of Beijing,2021-2022

目的分析北京市朝阳区水痘门诊病例经济负担及其影响因素。方法通过中国疾病预防控制信息系统选取朝阳区2021-2022年水痘门诊病例开展问卷调查,分析平均经济负担及其影响因素。结果共纳入214例水痘门诊病例,平均[中位数(四分位数间距),下同]总经济负担为1223(426-3529)元,平均直接、间接经济负担分别为413(260-658)元、465(0-3163)元。多因素Logistic回归模型分析显示,平均直接经济负担随着就诊次数增加而升高(OR=4.45,95%CI:2.28-8.68);10-19岁、20-29岁和≥30岁病例的平均间接经济负担高于0-9岁病例(OR=3.55,95%CI:1.01-12.52;OR=17.87,95%CI:5.61-56.92;OR=35.16,95%CI:10.21-121.10),近郊区病例低于远郊区病例(OR=0.12,95%CI:0.04-0.31);≥3次就诊病例的平均总经济负担高于1次就诊病例(OR=19.08,95%CI:1.96-186.23),20-29岁和≥30岁病例高于0-9岁病例(OR=8.21,95%CI:2.88-23.40;OR=19.14,95%CI:6.05-60.54),近郊区病例低于远郊区病例(OR=0.15,95%CI:0.05-0.39),病程≥8 d病例高于0-7 d病例(OR=2.56,95%CI:1.03-6.35)。结论研究地区2021-2022年水痘门诊病例特别是成人病例的经济负担较重。

Objective To explore the economic burden of varicella outpatients and its influencing factors in Chaoyang district of Beijing.Methods We used the China Disease Prevention and Control Information System to select varicella outpatients during 2021-2022 in Chaoyang for a questionnaire-based survey.We calculated the median economic burden and identified its influencing factors.Results Among the 214 varicella outpatients included,the median(interquartile range) total economic burden was 1 223(426-3 529) yuan,with direct and indirect economic burdens of 413(260-658) and 465(0-3 163) yuan,respectively.Multivariate logistic regression analysis showed that the direct economic burden increased with increasing medical visits of cases(OR=4.45,95%CI:2.28-8.68);the indirect economic burden was higher among 10-19-,20-29-,and ≥30-year-olds than among 0-9-year-olds(OR=3.55,95%CI:1.01-12.52;OR=17.87,95%CI:5.61-56.92;OR=35.16,95%CI:10.21-121.10) and lower in suburban areas than in exurban areas(OR=0.12,95%CI:0.04-0.31);the total economic burden was higher among cases who had ≥3 medical visits than among cases who had one visit(OR=19.08,95%CI:1.96-186.23),higher among 20-29-and ≥30-year-olds than among 0-9-year-olds(OR=8.21,95%CI:2.88-23.40;OR=19.14,95%CI:6.05-60.54),lower in suburban areas than in exurban areas(OR=0.15,95%CI:0.05-0.39),and higher among cases with disease duration of ≥8 days than among cases with disease duration of 0-7 days(OR=2.56,95%CI:1.03-6.35).Conclusions The economic burden was substantial among varicella outpatients in the study areas from 2021 to 2022,especially among adult patients.