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目的评估东营市手足口病经济负担。方法将全市所有县级及以上医院作为调查现场,抽样调查2014年6-8月份就诊的手足口病普通门诊、普通住院、重症病例,收集患者就医的直接医疗费用、直接非医疗费用和间接费用,估算手足口病经济负担。结果共调查门诊病例89例,普通住院病例90例,重症病例50例。估计2014年东营市手足口病总经济负担达1 108.67万元。门诊病例、普通住院病例、重症病例的例均总经济负担分别为835.48元、3 870.50元、14 549.28元,例均直接经济负担分别为469.30元、2 811.11元、12 999.11元,例均间接经济负担分别为366.18元、1 059.39元、1 550.16元。患者就诊于级别高的医院,直接经济负担相应增加。城镇患者的间接经济负担明显高于农村患者。结论手足口病给患者和社会均造成较重的经济负担。采取“三早”防控策略,强化基层卫生服务体系建设,规范患者入院标准,提高重症病例医疗费用补偿比例等措施将有助于减轻患者经济负担。
Objective To evaluate the economic burden of hand-foot-mouth disease in Dongying city. Methods All hospitals at county level and above in the city were taken as the survey site to sample the common outpatient HFMD clinics, general inpatients and severe cases for treatment from June to August in 2014, to collect the direct medical expenses for medical treatment of patients, direct non-medical expenses and indirect costs , Estimate the financial burden of hand, foot and mouth disease. Results A total of 89 outpatient cases, 90 common inpatients and 50 severe cases were investigated. It is estimated that the total economic burden of hand-foot-mouth disease in Dongying City in 2014 reached 1,106,700 yuan. The total financial burden of outpatient cases, general inpatient cases and severe cases were 835.48 yuan, 3 870.50 yuan and 14 549.28 yuan respectively. The average direct economic burden for each case was 469.30 yuan, 2 811.11 yuan and 12 999.11 yuan respectively, with the average indirect economic burden Burden was 366.18 yuan, 1 059.39 yuan and 1 550.16 yuan respectively. Patients attending high-level hospitals, the direct economic burden increased accordingly. The indirect financial burden of urban patients was significantly higher than rural patients. Conclusion Hand-foot-mouth disease causes heavy economic burden to both patients and society. Adopting “three early” prevention and control strategies, strengthening the construction of grassroots health service system, standardizing patient admission standards, and increasing the proportion of compensation for medical expenses in critically ill patients will help reduce the economic burden on patients.