2022年浙江省部分地区<3月龄百日咳住院病例经济负担调查

Economic burden of pertussis hospitalization of infants under 3 months of age in several areas of Zhejiang province,2022

目的 了解<3月龄百日咳住院病例的经济负担。方法 采用分阶段分层抽样方法抽取2022年浙江省4家医院<3月龄百日咳住院病例,回顾性调查病例相关医疗费用,分析经济负担及其影响因素。结果 共纳入<3月龄百日咳住院病例62例,平均(中位数)直接、间接和总经济负担分别为10 579元、1 973元、12 885元。无、1-3种、>3种并发症病例的平均总经济负担分别为9 262元(8例)、11 188元(41例)、19 060元(13例)(H=13.97,P=0.001);住院1-7 d、8-14 d、≥15 d病例分别为7 509元(27例)、12 911元(25例)、30 651元(10例)(H=25.19,P<0.001)。结论 调查地区<3月龄百日咳住院病例的经济负担较重,合并并发症加重病例的经济负担;需加强<3月龄婴儿百日咳防控。

Objective To assess the economic burden of pertussis hospitalization of infants under 3 months of age.Methods We used a staged,stratified sampling method to select pertussis inpatients from four hospitals of Zhejiang province in 2022 for a retrospective survey of relevant medical expenses and to conduct analyses of economic burden and influencing factors.Results A total of 62 pertussis inpatients under 3 months of age were included.Median direct,indirect,and total economic burdens were 10 579,1 973,and 12 885 yuan,respectively.Median total economic burdens for cases who had 0,1-3,and >3 complications(8,41,and 13 cases) were 9 262,11 188,and 19 060 yuan(H=13.97,P=0.001);and for cases who had been hospitalized for 1-7,8-14,and ≥15 days(27,25,and 10 cases) were 7 509,12 911,and 30 651 yuan(H=25.19,P<0.001).Conclusions The economic burden of pertussis inpatients under 3 months of age was heavy in the surveyed area;complications increased economic burden.We should strengthen pertussis prevention and control among infants under 3 months of age.