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目的通过调查深圳市水痘病例的疾病经济负担,为制定该市水痘免疫策略提供依据。方法在深圳市随机选择两个区,抽样调查所辖区的综合性医院、妇幼保健院和社区健康服务中心的水痘门诊和住院病例,综合评估水痘疾病总经济负担。结果调查2015年5月1日~2016年4月30日期间水痘病例173例,平均医疗费用为(412.5±1082.4)元/例,总经济负担为20.1万元;其中门诊病例161例,平均病程为(8.7±3.7)d/例,平均就诊费用为(157.3±148.7)元/例,总经济负担为12.9万元;住院病例12例,平均病程为(15.8±6.5)d/例,平均就诊费用为(3 835.2±2 065.1)元/例。因住院导致陪护产生的额外费用为(93.6±166.8)元/例,总经济负担为7.2万元。同期深圳市全市水痘门诊病例16 714例、住院病例124例,估算总经济负担为1 411万元。结论深圳市目前水痘经济负担较重,建议通过开展水痘免疫策略的研究加强水痘疫苗的接种,以减轻公众的经济负担。
Objective To investigate the economic burden of disease caused by chickenpox in Shenzhen and provide the basis for the development of the chickenpox immunization strategy in this city. Methods Two random samples of varicella patients and inpatient cases in general hospitals, maternal and child health centers and community health service centers under the jurisdiction of the district were selected in Shenzhen. The total economic burden of chickenpox disease was evaluated. Results A total of 173 cases of chickenpox were investigated from May 1, 2015 to April 30, 2016, with an average medical cost of (412.5 ± 1082.4) yuan / case and a total economic burden of 201,000 yuan. Outpatient 161 cases, with an average course of disease (8.7 ± 3.7) d / case, the average cost of the visit was (157.3 ± 148.7) yuan / case, the total economic burden of 129000 yuan; 12 cases of hospitalization, the average duration of (15.8 ± 6.5) d / case, the average treatment The cost is (3 835.2 ± 2 065.1) yuan / case. The additional cost incurred as a result of hospital stay was (93.6 ± 166.8) yuan / case, with a total economic burden of 72,000 yuan. In the same period, 16 714 cases of varicella outpatients and 124 cases of in-hospital cases were reported in Shenzhen City. The estimated total economic burden was 11.11 million yuan. Conclusions In Shenzhen, the economic burden of chickenpox is relatively heavy. It is suggested that the vaccination of chickenpox should be strengthened through the research on the strategy of chickenpox immunization, so as to reduce the public’s financial burden.