环境与职业医学2011，Vol.28Issue(5)：281-285,5.
上海市部分区(县)细菌性痢疾的疾病经济负担及影响因素
Study of Disease Economic Burden and Its Determinants Associated with Bacillary Shigeilosis in Partial Districts of Shanghai
摘要
Abstract
[ Objective ] To evaluate the disease economic burden associated with bacillary Shigellosis and probe its determinants in partial districts of Shanghai and provide the economical basis for formulating the scientific prevention strategy against bacillary Shigellosis. [ Methods ] Questionnaires were used to investigate the direct medical costs and direct non-medical costs,and human capital method was adopted to evaluate the indirect economic burden of 534 cases of bacillary Shigellosis in partial districts of Shanghai from Apr 2009 to Apr 2010. The multi-linear regression model was used to explore the determinants of direct economic burden and indirect economic burden of bacillary Shigellosis. [ Results ] The average direct burden of outpatient and inpatient bacillary Shigellosis cases were 530.79 and 3 004.57 Yuan ( RMB ) respectively in partial districts of Shanghai, and the average indirect burden were 243.13 and 328.02 Yuan respectively. The average total economic burden of outpatient and inpatient bacillary Shigellosis cases were 773.92 and 3 332.59 Yuan respectively. Multi-linear regression model showed that age, status of medical insurance, severity of symptoms, days from onset to diagnosis, hospital level and resdential district were determinants of direct economic burden, meanwhile, residential district and age were determinants of indirect economic burden. [ Conclusion ] The economic burden associated with bacillary Shigellosis in Shanghai should not be ignored, particularly, the economic burden of inpatient bacillary Shigellosis cases was comparatively high. It is still necessarily to strengthen the prevention and control of bacillary Shigellosis.关键词
细菌性痢疾/疾病经济负担/多元线性回归模型/影响因素Key words
bacillary Shigellosis/ disease economic burden/ multi-linear regression model/ influencing factor分类
医药卫生引用本文复制引用
黎健,顾宝柯,李燕婷,金汇明,吴寰宇..上海市部分区(县)细菌性痢疾的疾病经济负担及影响因素[J].环境与职业医学,2011,28(5):281-285,5.基金项目
上海市卫生局科研课题(编号:2008212) （编号:2008212）
