论文部分内容阅读
目的 了解南昌市红谷滩新区其他感染性腹泻病的流行特征,评估该病病例的经济负担,为制定传染病防控策略提供依据.方法 采用描述流行病学方法,对红谷滩新区2014-2016年其他感染性腹泻的资料进行分析.采取问卷调查的方法,收集病例就医过程和相关费用并进行评估.结果 红谷滩新区2014-2016年其他感染性腹泻病发病392例,年发病率在42.72/10万~60.08/10万之间,呈逐年下降趋势.发病存在4~6月和10~次年1月2个高峰,14岁以下病例占病例总数的91.58%.门诊病例和住院病例直接医疗费用的中位数分别为285和1420元,直接非医疗费用的中位数分别为131和746元,间接经济损失的中位数分别为672和1344元.2014-2016年红谷滩新区其他感染性腹泻病总体经济负担为612990元.结论 14岁以下儿童是其他感染性腹泻病的高发人群,其经济负担也比较沉重,需采取措施控制和降低其发病率;提升基层医疗机构业务水平,推进分级诊疗,降低疾病产生的经济负担.“,”Objective To understand the epidemiological characteristics of other infectious diarrhea diseases in Honggutan District of Nanchang City from 2014 to 2016,estimate the economic burden of cases and provide evidence for developing control strategies. Methods The descriptive epidemiological method was used to analyze the data of other infectious diarrhea diseases in Honggutan District from 2014 to 2016. Information about the disease history,direct and indirect economic costs of other infectious diarrhea cases was collected and assessed by questionnaire survey. Results A total of 392 cases of other infectious diarrhea diseases were reported in Honggutan District from 2014 to 2016,with an annual incidence of 42.72/105-60.08/105. The incidence rate showed a declining trend year by year. The incidence peaked in April to June and October to January. 91.58% of the cases were aged from 0 to 14. The median direct medical costs of outpatient and inpatient cases were 285 and 1 420 yuan,respectively. The median direct non-medical cost of outpatient and inpatients were 131 and 746 yuan,respectively. The median indirect cost of outpatient and inpatients were 672 and 1 344 yuan, respectively. The overall economic cost attributable to other infectious diarrhea diseases was 612 990 yuan in Honggutan District between 2014 and 2016. Conclusion Children under 14 years old are the population with high risk and heavy economic burden of other infectious diarrhea diseases. Measures should be taken to control and lower the incidence. The government should improve the technical level of primary medical institutions and promote hierarchical medical system for lightening the economic burden of other infectious diarrhea diseases to the society.