CHINESE JOURNAL OF PARASITOLOGY AND PARASITIC DISEASES >

2021 , Vol. 39 >Issue 2: 161 - 165

DOI: https://doi.org/10.12140/j.issn.1000-7423.2021.02.006

FROM ENDEMIC TO PRELIMINARY CONTROL--SPECIAL REPORTS ON ECHINOCOCCOSIS IN SICHUAN PROVINCE

Analysis of hospitalization expenses and subsidies for echinococcosis patients in Sichuan Province during 2016—2020

  • Ren-xin YAO ,
  • Bo ZHONG ,
  • Qian WANG ,
  • Yu ZHANG ,
  • Jun LIU ,
  • Yong-zhong LI ,
  • Guo ZHOU ,
  • Jun-bin ZHAO ,
  • Ze-li DANBA ,
  • Run-mao ZHU ,
  • Ge-ji ZHANG ,
  • Yang LIU ,
  • Yan HUANG ,
  • Wen-jie YU ,
  • Wei HE ,
  • Sha LIAO ,
  • Guang-jia ZHANG ,
  • Qi WANG ,
  • Liu YANG ,
  • Rui-rui LI
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  • 1 Sichuan Center for Disease Control and Prevention, Chengdu 610041, China
    2 Sichuan People’s Hospital, Chengdu 610072, China
    3 West China Hospital of Sichuan University, Chengdu 610041, China
    4 Ganzi Health Commission, Ganzi 620000, China
    5 Ganzi Center for Disease Prevention and Control, Ganzi 620000, China
    6 Aba Centre for Disease Control and Prevention, Aba 624000, China

Received date: 2021-01-15

  Revised date: 2021-03-07

  Online published: 2021-04-30

Supported by

Sichuan Science and Technology Project(2018SZ0116)

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Abstract

Objective To evaluate the impact of the echinococcosis prevention and treatment project on the treatment cost for echinococcosis patients in Sichuan Province, in order to provide a scientific basis for the formulation of subsidy policy. Methods Data of surgical treatment of echinococcosis patients in four 3A grade hospitals in Sichuan Province from 2016 to 2020 were collected, including the basic information, lesion type, hospitalization days and expenses, medical insurance subsidies, state project subsidies, etc. SPSS 18.0 statistical software was used for statistical analysis. Results A total of 504 cases were collected, with a male-to-female ratio of 1 ∶ 1.2. The ratio of cystic echinococcosis granulose(114 cases) to alveolar echinococcosis (175 cases) was 1 ∶ 1.5, and the average age was (38.6 ± 14.5) years. The main surgical site was in liver (90%, 414/460). The major operative strategy was partial hepatectomy (24.7%, 90/365). Eighty-two cases received combined surgery and 33 cases received liver transplantation. The median length of hospitalization was 15 days. From 2016 to 2020, the median of total cost of hospitalization showed a trend of yearly increase. Significant factors that influence the hospitalization expense included different hospitals, year of admission, the age upon operation, length stay in hospital, type of echinococcosis and operation method (P < 0.05). Of the 237 patients with complete subsidy data, the total cost of hospitalization was 16 833 040 yuan, with a median cost of 51 172 yuan. The total amount of the national echinococcosis subsidy project was 4 645 709 yuan, with a median of 22 000 yuan. Most of the patients received a subsidy of > 20 000 yuan (51.9%). After compensated by medical insurance and echinococcosis subsidy, 192 patients need to pay for their own cost. The total amount of self-payment was 2 710 793 yuan, with a median of 5 888 yuan. Most of the patients paid 0-5000 yuan (58.2%), with 47 patients paying no cost. Conclusion The government echinococcosis subsidy program has greatly reduced the burden of patients for medical cost.

Key words： Sichuan Province; Echinococcosis; Treatment burden; Influencing factors

Cite this article

Ren-xin YAO , Bo ZHONG , Qian WANG , Yu ZHANG , Jun LIU , Yong-zhong LI , Guo ZHOU , Jun-bin ZHAO , Ze-li DANBA , Run-mao ZHU , Ge-ji ZHANG , Yang LIU , Yan HUANG , Wen-jie YU , Wei HE , Sha LIAO , Guang-jia ZHANG , Qi WANG , Liu YANG , Rui-rui LI . Analysis of hospitalization expenses and subsidies for echinococcosis patients in Sichuan Province during 2016—2020[J]. CHINESE JOURNAL OF PARASITOLOGY AND PARASITIC DISEASES, 2021 , 39(2) : 161 -165 . DOI: 10.12140/j.issn.1000-7423.2021.02.006

References

[1] Zhong B, Wang Q. Comprehensive prevention and treatment of echinococcosis, helping Shiqu to achieve prosperity[J]. Mod Prev Med, 2020,47(24):4417-4421. (in Chinese)
[1] ( 钟波, 王谦. 综合防治包虫病,助力石渠奔小康[J]. 现代预防医学, 2020, 47(24), 47:4417-4421.)
[2] Wang Q, Yang L, Wang YF, et al. Disease burden of echinococcosis in Tibetan communities: a significant public health issue in an underdeveloped region of Western China[J]. Acta Trop, 2020,203:105283.
[3] Wang Q, Chen F, Zhang GJ, et al. A study on the transmission dynamics of some echinococcosis in Sichuan-Tibet[J]. Chin Animal Heal, 2017,19(7):19-22. (in Chinese)
[3] ( 王谦, 陈凡, 张光葭, 等. 青藏高原四川部分包虫病传播动力学的研究[J]. 中国动物保健, 2017,19(7):19-22.)
[4] Huang Y, Wang Q, Yi DY, et al. Prevelance investigation and evaluation of human echinococcosis in Sichuan Province[J]. J Prev Med Inf, 2012,28(8):594-597. (in Chinese)
[4] ( 黄燕, 王谦, 易德友, 等. 四川省棘球蚴病患病情况调查及评估[J]. 预防医学情报杂志, 2012,28(8):594-597.)
[5] He W, Liao S, Wang Q, et al. Spatial and temporal distribution of newly diagnosed echinococcosis patients in Sichuan Province from 2007 to 2017[J]. Chin J Schisto Control, 2019,31(4):393-399. (in Chinese)
[5] ( 何伟, 廖沙, 王谦, 等. 2007—2017年四川省新发棘球蚴病患者时空分布特征[J]. 中国血吸虫病防治杂志, 2019,31(4):393-399.)
[6] Yu WJ, Wang Q, Liao S, et al. Echinococcosis prevalence in humans in Shiqu County of Sichuan in 2017[J]. J Prev Med Inf, 2018,34(5):545-549. (in Chinese)
[6] ( 喻文杰, 王谦, 廖沙, 等. 2017年四川省石渠县包虫病患病情况现状调查[J]. 预防医学情报杂志, 2018,34(5):545-549.)
[7] Li RR, Yu WJ, Wang Q, et al. Dynamic observation of the ultrasonography imaging of hepatic echinococcosis patients[J]. J Prev Med Inf, 2018,34(11):1374-1383. (in Chinese)
[7] ( 李汭芮, 喻文杰, 王谦, 等. 肝包虫病患者超声影像动态观察[J]. 预防医学情报杂志, 2018,34(11):1374-1383.)
[8] He W, Wang Q, Huang Y, et al. Risk factors of echinococcosis in Shiqu County, Sichuan Province[J]. Chin J Parasitol Parasit Dis, 2019,37(4):428-432. (in Chinese)
[8] ( 何伟, 王谦, 黄燕, 等. 四川省石渠县棘球蚴病流行的影响因素分析[J]. 中国寄生虫学与寄生虫病杂志, 2019,37(4):428-432.)
[9] Kasimu A, Abudusalamu A, Tuerganali A, et al. Analysis of hospital expenses for patients with end-stage hepatic alveolar echinococcosis receiving ex vivo liver resection and autotransplantation[J]. Chin J Parasitol Parasit Dis, 2020,38(1):53-57. (in Chinese)
[9] ( 喀斯木·艾海提, 阿卜杜萨拉木·艾尼, 吐尔干艾力·阿吉, 等. 离体肝切除和自体肝移植术治疗终末期肝多房棘球蚴病的住院医疗费用分析[J]. 中国寄生虫学与寄生虫病杂志, 2020,38(1):53-57.)
[10] Zhang Y, Yang C, Wang Y, et al. Successful treatment for end stage liver alveolar echinococcosis with ex-vivo liver resection and autologous liver transplantation combined with complicated hepatic vein reconstruction[J]. Chin J Bases Clin Gen Surg, 2018,25(10):1236-1241. (in Chinese)
[10] ( 张宇, 杨冲, 王燚, 等. 离体肝切除和自体肝移植联合复杂肝静脉重建治疗终末期肝泡型包虫病[J]. 中国普外基础与临床杂志, 2018,25(10):1236-1241.)
[11] Gao Y, Wu XW, Abu DWYT, et al. Clinical analysis on 21 cases of acute intrabiliary rupture of hepatic Echinococcus granulosus cyst[J]. Chin J Parasitol Parasit Dis, 2020,38(4):524-526, 528. (in Chinese)
[11] ( 高宇, 吴向未, 阿布·都瓦依提, 等. 肝细粒棘球蚴包囊急性破裂入胆道21例临床分析[J]. 中国寄生虫学与寄生虫病杂志, 2020,38(4):524-526, 528.)
[12] Cosic L, Ma R, Churilov L, et al. The financial impact of postoperative complications following liver resection[J]. Medicine (Baltimore), 2019,98(27):e16054.
[13] Zhang MY, Wu WP, Guan YY, et al. Analysis on disease burden of hydatid disease in China[J]. Chin J Parasitol Parasit Dis, 2018,36(1):15-19, 25. (in Chinese)
[13] ( 张梦媛, 伍卫平, 官亚宜, 等. 我国棘球蚴病疾病负担分析[J]. 中国寄生虫学与寄生虫病杂志 2018,36(1):15-19,25.)
[14] Si Q, Liu CH, Shao YM, et al. Influencing factors analysis on the hospitalization cost of 2 064 cases of patients with echinococcosis[J]. Chin Med Rec, 2016,17(5):52-54. (in Chinese)
[14] ( 斯琴, 刘才华, 邵英梅, 等. 2064例包虫病患者住院费用影响因素分析[J]. 中国病案, 2016,17(5):52-54.)
[15] Li BL, Wang MX, Dong YY, et al. Analysis of hospitalization expenses and subsidy of surgical treatment patients with hepatic cystic echinococcosis in county hospitals of Xinjiang[J]. Chin Med Rec, 2019,20(9):54-57. (in Chinese)
[15] ( 李波霖, 王明霞, 董严严, 等. 新疆维吾尔自治区县级医院肝囊型包虫病患者住院费用和补助情况分析[J]. 中国病案, 2019,20(9):54-57.)
[16] Shao J, Wang ZX, Yangdan CR, et al. Analysis of influencing factors on hospitalization expenditures of patients with alveolar echinococcosis in Qinghai-Tibet Plateau[J]. Chin J Dis Control Prev, 2018,22(2):168-172. (in Chinese)
[16] ( 邵军, 王志鑫, 阳丹才让, 等. 青藏高原地区泡型包虫病患者住院费用影响因素分析[J]. 中华疾病控制杂志, 2018,22(2):168-172.)
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