收稿日期: 2020-07-09
修回日期: 2020-08-29
网络出版日期: 2021-07-05
基金资助
河南省科技计划项目(202102310453)
Analysis of medical cost of echinococcosis cases and influencing factors in Henan Province during 2017—2019
Received date: 2020-07-09
Revised date: 2020-08-29
Online published: 2021-07-05
Supported by
Henan Science and Technology Plan Project(202102310453)
目的 了解2017—2019年河南省棘球蚴病患者的医疗费用,并分析其影响因素,为棘球蚴病的诊疗提供参考。方法 通过国家传染病报告信息管理系统收集2017—2019年河南省棘球蚴病病例信息,通过流行病学调查及电话回访收集报告病例的一般信息和诊疗信息。采用SPSS 22.0软件对报告病例进行描述性流行病学分析,采用两（多）独立样本秩和检验分析患者医疗费用的影响因素。结果 2017—2019年河南省共报告棘球蚴病病例51例,以新疆输入为主（34例）。报告病例主要分布在周口（25.5%,13/51）,其次为南阳（17.7%,9/51）、商丘（11.8%,6/51）、驻马店（9.8%,5/51）;报告病例中男女比例为1.8 ∶ 1;发病年龄主要集中在40~60岁年龄组。提供诊疗费用的40位棘球蚴病患者,最低花费0元,最高60.0万元,中位数为6.0万元;单因素分析结果显示,对诊疗费用差异有统计学意义的变量为：性别、疾病类型、病灶数量、是否复发、发病-确诊时间、确诊医院级别、转诊次数和手术次数（P < 0.05）。 结论 河南省棘球蚴病患者的医疗费用与疾病进展、就医行为等相关。
张雅兰 , 邓艳 , 陈伟奇 , 朱岩昆 , 蔺西萌 , 张红卫 . 2017—2019年河南省棘球蚴病患者医疗费用及影响因素分析[J]. 中国寄生虫学与寄生虫病杂志, 2021 , 39(3) : 321 -326 . DOI: 10.12140/j.issn.1000-7423.2021.03.005
Objective To analyze the medical cost of echinococcosis patients and the influencing factors in Henan Province from 2017 to 2019. Methods The general information of echinococcosis cases of Henan Province was collected through the Chinese National Infectious Diseases Reporting System during 2017—2019. The clinical information was collected by epidemiological investigation and telephone follow-up. The epidemiological characteristics of the reported cases were analyzed with SPSS 22.0, and the rank sum test for two or multi independent samples was used to analyze the influential factors for medical expenses of echinococcosis cases.Results From 2017 to 2019, 51 echinococcosis cases were reported in Henan, of which 34 cases were imported from Xinjiang. For area distribution, the cases were predominantly distributed in Zhoukou (25.5%, 13/51), followed by Nanyang (17.7%, 9/51), Shangqiu (11.8%, 6/51) and Zhumadian (9.8%, 5/51). The male-to-female ratio was 1.8 : 1, and the age of patients was mainly in the range of 40-60 years. By analyzing the medical expenses of 40 echinococcosis cases, the medical expense ranged 0-0.6 million, with a median of 60 000 yuan. Factors that were significantly associated with medical expenses were gender, type of echinococcosis, lesion number, the occurrence of relapse, the time from onset to confirmed diagnosis, level of hospital offering diagnosis, time of referring and time of operation ( P < 0.05). Conclusion The medical cost of echinococcosis patients was related to disease progression and hospital visits in Henan Province.
Key words： Henan Province; Echinococcosis; Medical expense; Influential factor
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