【摘要】 目的了解海南垦区2011-2012年5岁以下儿童手足口病病例的经济负担,为科学制定手足口病防治策略,合理配置卫生资源提供依据。方法采用回顾性调查的方法对海南垦区5岁以下儿童手足口病病例的经济负担进行横断面调查。结果 (1)门诊患者的总费用合计为1.11×106元,每例患者的总费用最低为269.00元,最高为5 700.00元,平均每例患者的总费用(1 378.00±1 514.54)元。直接医疗费用、直接非医疗费用和间接损失的费用,平均数分别为(687.08±1 162.26)元、(286.96±608.14)元、(406.95±302.58)元。在直接医疗费用中,托幼儿童与散居儿童间差异有统计学意义(Z=4.955,P<0.001),性别、年龄、病情间差异均无统计学意义(P>0.05)。在直接非医疗费用中,病情间差别有统计学意义(Z=84.141,P<0.001)。在间接损失费用中,除年龄间差异无统计学意义(Z=1.096,P>0.05),其他差异均有统计学意义(P<0.05)。(2)每例患者住院的总费用最低为794.00元,最高为53 500.00元,平均每例患者的总费用(3 350.50±2 714.20)元。直接医疗费用、直接非医疗费用和间接损失的平均数分别为(2 340.00±2 015.00)元、(1 44.00±5 56.00)元、(407.00±483.00)元。在直接医疗费用、间接费用、间接损失费用,除病情外(P<0.001),性别、职业间、年龄间差异均无统计学意义(P>0.05)。(3)住院患者的就诊次数,一次门诊所占比例最高为78.44%,第一次就诊医院以县级医院为主,所占比例53.7%。结论海南垦区手足口病经济负担较重,仍然存在部分病例误诊的情况,第一次就诊医院以县级医院为主,其次是市级医院。因此,积极做好手足口病预防控制工作,患病进行规范诊疗,切实降低发病率,才能有效减轻疾病对社会和家庭的经济负担。更多还原

【Abstract】 Objective To investigate the financial cost of the HFMD in the children under 5-year-old from 2011 to 2012 in Hainan Reclamation area, and to provide the basis for making the control strategies of the HFMD scientifically and allocating the health resources reasonably. Methods Using the retrospective survey method, with cross-sectional survey way,to investigate the financial cost of the HFMD of the under 5-year-old children in Hainan Reclamation area. Results(1) The total cost was 1.11 × 106yuan in the outpatient, the lowest total cost was 269.00 yuan, the highest total cost was 5 700.00 yuan, and the average total cost of each patient(1 378.00 ± 1 514.54) yuan. The average of direct medical costs, direct non-medical costs and indirect costs of loss were(687.08±1 162.26) yuan,(286.96± 608.14) yuan, and(406.95 ± 302.58) yuan, respectively. Preschool children and children scattered in direct medical costs, the difference was statistically significant(Z=4.955, P<0.001), and the differences between gender, age and condition were not statistically significant. In direct non-medical costs, the difference among the condition was statistically significant(Z=84.141, P<0.001). In indirect loss costs, the difference except age was not statistically significant, the other were statistically significant(P<0.05).(2) The lowest total cost was 794.00 yuan of patients hospitalized, the highest total cost was 53 500, 00 yuan, and the total cost of each patient was(3 350.50 ± 2 714.20) yuan. Average direct medical costs, direct non-medical costs and indirect losses were(2 340.00 ±2015.00) yuan,(144.00±556.00) yuan, and(407.00±483.00) yuan, respectively. In direct medical costs, indirect costs, indirect costs of loss, except the disease, the difference between gender, occupation, and age were not statistically significant.(3) Inpatients on the number of outpatient proportion up to 78.44%, the first visiting hospital wass the county hospital, with the proportion of 53.7%. Conclusion The financial cost of the HFMD is higher in Hainan Reclamation area, and there are still some cases of misdiagnosis in the first visiting hospitals.更多还原