摘要
目的 了解中国哨点监测住院严重急性呼吸道感染（Severe acute respiratory infection,SARI）病例的经济负担.方法 2013年12月-2014年1月,本研究以2013年我国SARI监测系统报告的SARI住院病例为研究对象,通过电话调查的方式收集其因SARI住院期间的直接成本和间接成本.结果 本研究成功调查122例SARI住院患者.病例年龄中位数为4岁（四分位数间距,interquartile rang,IQR1-16）,住院时间中位数为8天（IQR 7-13）.SARI住院病例总成本平均为12 752元/人,中位数为8156元/人（IQR 5344-13 079）.其中直接医疗成本所占比例最高（66.7％）,直接非医疗成本和间接成本分别占18.6％和14.8％.60岁以上年龄人群的成本均数（22 393元/人）较其他年龄组（10 103元/人-15 802元/人）高.患有基础疾病者的成本均数（16 568元/人）高于无基础疾病者（8809元/人）（P＜0.05）.当基本医疗保险对直接医疗成本的实际补偿比为50％-70％时,城镇和乡村病例自己负担的成本分别为当地人均年收入的23.5％-29.1％和1.04-1.36倍.结论 我国SARI哨点监测医院SARI病例的经济负担较高,主要为直接医疗成本.乡村病例的经济负担高于城镇病例.
Objective To estimate the economic burden of severe acute respiratory infection （SARI） inpatients in sentinel hospitals of China.Methods A telephone survey was conducted during December 2013-Januray 2014 to estimate the direct and indirect costs of SARI hospitalization cases, who were registered in the National SARI Sentinel Surveillance Network in China in 2013.Results The study interviewed 122 SARI inpatients.The median age was 4 years old （interquartile range, IQR 1-16）.The median length of hospitalization stay was 8 days （IQR 7-12）.The mean and median cost per episode for SARI inpatients was separately 12 752 CNY and 8156 CNY （IQR 5344-13079）.Direct medical costs, direct non-medical costs and indirect costs accounted for 66.7%, 18.6% and 14.8% of the total costs, respectively.The adults aged over 60 years had the highest costs per episode （22 393 CNY）, compared to other age groups （10 103-15 802 CNY）.Patients with underlying medical conditions had higher costs per episode than other patients （16568 CNY vs 8809 CNY） （P 〈0.05）.For the urban and rural patients, the self-paid costs were separately 23.5 %-29.1% and 1.04-1.36 times the local average annual income per capita when 50%-70% of the direct medical costs of inpatients could be reimbursed.Conclusions The economic burden of SARI inpatients from the National SARI Sentinel Surveillance Network in China is substantial, of which the direct medical cost accounts for a significant proportion.Particularly, the rural patients have higher economic burden than urban patients.
出处
《国际病毒学杂志》
2015年第6期361-366,共6页
International Journal of Virology
基金
世界卫生组织流感项目
关键词
严重急性呼吸道感染
住院病例
经济负担
Severe acute respiratory infection
Inpatients
Economic burden
