山东省乙型肝炎病毒感染相关疾病住院患者经济负担及影响因素分析

摘要

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.%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.