中华流行病学杂志
中華流行病學雜誌
중화류행병학잡지
CHINESE JOURNAL OF EPIDEMIOLOGY
2013年
3期
267-272
,共6页
吕静静%李仁鹏%徐爱强%张丽%宋立志%颜丙玉%纪峰%刘甲野%房学强
呂靜靜%李仁鵬%徐愛彊%張麗%宋立誌%顏丙玉%紀峰%劉甲野%房學彊
려정정%리인붕%서애강%장려%송립지%안병옥%기봉%류갑야%방학강
乙型病毒性肝炎%经济负担%影响因素%住院患者
乙型病毒性肝炎%經濟負擔%影響因素%住院患者
을형병독성간염%경제부담%영향인소%주원환자
Hepatitis B%Economic burden%Influencing factors%Inpatients
目的 了解山东省急慢性乙型肝炎(乙肝)、肝硬化和肝癌住院患者经济负担及影响因素.方法 采用时间阶段连续病例整群抽样方法,于2010年从山东省住院患者中选取相关调查对象,问卷调查和查阅病历获取年住院费用信息及影响因素.结果 山东省急性乙肝、重型乙肝、慢性乙肝、肝硬化、原发性肝癌住院患者的年经济负担分别为6.67、13.81、12.74、15.17、37.72万元.多元线性回归模型分析显示,医疗保障、年住院天数、HBV感染相关疾病类型、经济收入是住院费用的主要影响因素.结论 山东省乙肝患者的经济负担极为沉重,防控HBV感染具有巨大社会和经济效益.
目的 瞭解山東省急慢性乙型肝炎(乙肝)、肝硬化和肝癌住院患者經濟負擔及影響因素.方法 採用時間階段連續病例整群抽樣方法,于2010年從山東省住院患者中選取相關調查對象,問捲調查和查閱病歷穫取年住院費用信息及影響因素.結果 山東省急性乙肝、重型乙肝、慢性乙肝、肝硬化、原髮性肝癌住院患者的年經濟負擔分彆為6.67、13.81、12.74、15.17、37.72萬元.多元線性迴歸模型分析顯示,醫療保障、年住院天數、HBV感染相關疾病類型、經濟收入是住院費用的主要影響因素.結論 山東省乙肝患者的經濟負擔極為沉重,防控HBV感染具有巨大社會和經濟效益.
목적 료해산동성급만성을형간염(을간)、간경화화간암주원환자경제부담급영향인소.방법 채용시간계단련속병례정군추양방법,우2010년종산동성주원환자중선취상관조사대상,문권조사화사열병력획취년주원비용신식급영향인소.결과 산동성급성을간、중형을간、만성을간、간경화、원발성간암주원환자적년경제부담분별위6.67、13.81、12.74、15.17、37.72만원.다원선성회귀모형분석현시,의료보장、년주원천수、HBV감염상관질병류형、경제수입시주원비용적주요영향인소.결론 산동성을간환자적경제부담겁위침중,방공HBV감염구유거대사회화경제효익.
Objective To investigate the economic burden of patients with acute and chronic hepatitis B,cirrhosis and liver cancer caused by hepatitis B virus (HBV).Methods Cluster sampling was used on cases consecutively collected during the study period.Questionnaire survey was conducted and information on the expenses during hospitalization was collected from the hospital records and through interviewing those patients.Results Yearly costs related to patients with acute hepatitis B,severe hepatitis B,chronic hepatitis B,cirrhosis,hepatocellular carcinoma were 66.7,138.1,127.4,151.7 and 377.2 thousand Yuan,respectively.Results from multiple linear regression model showed that the type of medical insurance scheme,annual days of hospitalization,classifications of HBV-related diseases and personal income were major influencing factors on the cost.Conclusion HBV infection caused considerable burden to families and the society,indicating that HBV infection control programs would bring huge potential benefits.The reform of insurance scheme should be administrated to promote social fairness.
