摘要
目的 了解<3月龄百日咳住院病例的经济负担。方法 采用分阶段分层抽样方法抽取2022年浙江省4家医院<3月龄百日咳住院病例,回顾性调查病例相关医疗费用,分析经济负担及其影响因素。结果 共纳入<3月龄百日咳住院病例62例,平均(中位数)直接、间接和总经济负担分别为10 579元、1 973元、12 885元。无、1-3种、>3种并发症病例的平均总经济负担分别为9 262元(8例)、11 188元(41例)、19 060元(13例)(H=13.97,P=0.001);住院1-7 d、8-14 d、≥15 d病例分别为7 509元(27例)、12 911元(25例)、30 651元(10例)(H=25.19,P<0.001)。结论 调查地区<3月龄百日咳住院病例的经济负担较重,合并并发症加重病例的经济负担;需加强<3月龄婴儿百日咳防控。
Objective To assess the economic burden of pertussis hospitalization of infants under 3 months of age.Methods We used a staged,stratified sampling method to select pertussis inpatients from four hospitals of Zhejiang province in 2022 for a retrospective survey of relevant medical expenses and to conduct analyses of economic burden and influencing factors.Results A total of 62 pertussis inpatients under 3 months of age were included.Median direct,indirect,and total economic burdens were 10 579,1 973,and 12 885 yuan,respectively.Median total economic burdens for cases who had 0,1-3,and >3 complications(8,41,and 13 cases) were 9 262,11 188,and 19 060 yuan(H=13.97,P=0.001);and for cases who had been hospitalized for 1-7,8-14,and ≥15 days(27,25,and 10 cases) were 7 509,12 911,and 30 651 yuan(H=25.19,P<0.001).Conclusions The economic burden of pertussis inpatients under 3 months of age was heavy in the surveyed area;complications increased economic burden.We should strengthen pertussis prevention and control among infants under 3 months of age.
作者
苏颖
唐学雯
罗锋
郑舒涵
周洋
严睿
邓璇
朱瑶
何寒青
Su Ying;Tang Xuewen;Luo Feng;Zheng Shuhan;Zhou Yang;Yan Rui;Deng Xuan;Zhu Yao;He Hanqing(School of Public Health,Zhejiang Traditional Chinese Medicine University,Hangzhou 310051,Zhejiang,China;Zhejiang Provincial Center for Disease Control and Prevention,Hangzhou 310051,Zhejiang,China;Hangzhou Medical College,Hangzhou 310000,Zhejiang,China)
出处
《中国疫苗和免疫》
CSCD
北大核心
2023年第6期644-649,共6页
Chinese Journal of Vaccines and Immunization
基金
2021年度长三角免疫规划领军人才研究项目(CSJP020)。
关键词
百日咳
住院病例
经济负担
影响因素
婴儿
Pertussis
Inpatient
Economic burden
Influencing factor
Infant
