Changzhi Area Of ​​hepatitis B-related Economic Burden Of Disease Study

ObjectiveThe study is to systematieally analyze during 2002 and 2009 changzhi area of hospitalized patients with Hepatitis B-related diseases hospital expenses and 2010 HBV-related diseases of direct costs, indirect expenses and intangible fees, hepatitis B-related diseases over the past 8 years of this common inpatient medical cost and comparative analysis of the economic burden of a year, and the impact of hospitalization fees factors, in order to know the distribution of in-hospital cost constitutes a situation and its influencing factors of HBV-related disease patients master each HBV-related disease patients a year of economic burden; Explore various HBV-related disease patients associated factors affecting economic burden; Research approach to canvass suitable HBV-related diseases study methods, offer the parameter for the fact that the liver immunity of hepatitis B prevents hygiene economics from being assessed, thus offer scientific basis for making the hepatitis B and preventing the control strategy.MethodsThe data from 2002 to 2009 3294 HBV-related diseases hospital costs for hospitalized patients with descriptive analysis, and adopt the cox regression model to analyze affect patients HBV-related diseases associated factors of hospitalization fees; Using time stage continuous cases the cluster sampling method, face-to-face way of depth interview questionnaire HBV-related diseases patients in 2010 to evaluate HBV-related diseases a year in Changzhi area's economic burden. All the data were the quantitative data analyzed by SPSS13.0 statistical software; Retrospective survey method, descriptive analysis, ANOVA and multiple linear regression analysis were used.Results1.From 2002 to 2009 patients with HBV-related diseases at an average age was (46.55±13.93), 60.02% hospital patients were peasant, the average days in hospital was 20 d, cost and average daily hospital expenses, hospitalization days in hospital and the number of people increasing year by year, the expenses form and take fee of Western medicine as the core to rise year by year in hospital; Influence factors of hospitalization fees HBV-related diseases were: age, gender, admission conditions, the admission diagnosis are the same, whether the second diagnosis, HBsAg situation, having surgery, medicines proportion, professional hospitalization days. 2. HBV-related diseases was 26195.63 Yuan, accounting for the 108.58% annual income of family. Among them the direct cost was17462.01 Yuan, accounts for 72.38% of total income for the household; the indirect expense was 5226.29 Yuan, accounts for 21.66% of the total income for the household; direct cost, indirect expense and invisible expenses account for 66.66%, 19.95% and 13.39% of the financial burden respectively.3. No matter linear regression analysis of direct cost, indirect expense, invisible expenses or all-inclusive cost is analyzed can know whether to use the antiviral medicine and buy medicine, the influence factor of HBV-related diseases financial burden is whether to use the antiviral medicine and buy medicine, age, monthly income and occupation of farmers. Not found it with the gender, marital status, and medical insurance impact on.ConclusionThe proportions of medical expenses were still made a large proportion in hospital expenses, so that is very important to control the irrational rise of the hospitalization cost, improving the resource utilization provides certain theoretical reference. HBV-related diseases patients in changzhi already exceed family's annual income, causing heavy economic burden, raise the proportion of anti-viral drugs compensation to ease the economic burden of HBV-related diseases.