目的 评估宁波市手足口病经济负担。 方法 选取国家疾病监测信息报告管理系统中2011年宁波市报告的手足口病例,进行问卷调查和病历回顾,收集病例就医过程、相关费用和医疗保险等信息,估算手足口病例经济负担。 结果 共调查手足口病轻症病例106例,重症病例58例,死亡病例6例。2011年宁波市手足口病总体经济负担为3635.1万元,其中直接经济负担2181.2万元,间接经济损失1453.9万元。轻症、重症、死亡病例直接费用的中位数分别为1581、7419和21 533元,直接医疗费用的中位数分别为1431、6977和17 224元。参加至少一种医疗保险的病例占32.9%,医疗保险可为轻症、重症病例分别减轻38.2%和29.1%的直接医疗费用。 结论 手足口病给患者和社会均造成了较重的经济负担。提高医疗保险覆盖率、减少轻症病例住院比例将有助于减轻患者经济负担;控制和降低发病率,才能有效减轻手足口病对社会的经济负担。
Objective To estimate the economic burden caused by hand, foot and mouth disease (HFMD) in Ningbo. Methods Questionnaire survey about the disease history, direct and indirect economic cost of HFMD cases reported in Ningbo in 2011 was conducted. Results A total of 106 mild cases, 58 severe cases and 6 death cases of HFMD were surveyed. The overall economic cost attributable to HFMD was 36.4 million yuan in Ningbo in 2011,in which the direct cost was 21.8 million yuan, indirect cost was 14.5 million yuan. The median of direct economic cost of the mild, severe and death cases was 1581, 7419 and 21 533 yuan respectively. and the median of medical cost was 1431, 6977 and 17 224 yuan respectively. Fifty six (32.9%) patients had medical insurance, by which 38.2% of medical cost was cut down for mild cases and 29.1% was cut down for severe cases. Conclusion The economic burden of HFMD was heavy both for the society and patients. Increasing the medical insurance coverage and reducing the hospitalization of mild patients would lighten the economic burden of HFMD patients, and reducing the incidence of HFMD would lighten the economic burden of HFMD to society.