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目的了解新疆基层包虫病定点医院包虫病患者疾病负担现状。方法利用2008-2013年,新疆15家包虫病外科治疗县级定点医院实施外科救助的患者基本资料,评价包虫病的直接经济负担,并分析其在不同人群及地区间的差异。结果 715例住院患者中,人均直接经济负担为16 098.20元,其中人均直接医疗费用为10 043.65元,人均直接非医疗费用为6 054.55元,不同年龄组间直接经济负担差异有统计学意义。20~40岁患者的直接医疗费用和直接非医疗费用都最高,存在并发症的患者人均直接医疗费用高于无并发症患者,差异有统计学意义。结论新疆基层包虫病定点医院包虫病患者直接经济负担较重,建议根据不同年龄段、有无并发症制定不同标准的卫生策略,可以更好地降低包虫病患者的经济负担。
Objective To understand the status quo of disease burden of echinococcosis in designated hospitals in Xinjiang. Methods From 2008 to 2013, Xinjiang 15 echinococcosis surgical treatment of county-level hospitals to implement the surgical relief of the basic information of patients to assess the direct economic burden of hydatid disease and analyze its differences in different populations and regions. Results Among the 715 inpatients, the direct economic burden per capita was 16.098.20 yuan, of which the per capita direct medical costs were 10 043.65 yuan and the per capita direct non-medical expenses were 6 054.55 yuan. There was significant difference in direct economic burden among different age groups. The direct medical costs and direct non-medical expenses of patients aged 20 ~ 40 years were the highest. The per capita direct medical costs of patients with complications were higher than those without complications, the difference was statistically significant. Conclusion The direct economic burden of echinococcosis patients in designated hospitals of grass-roots echinococcosis in Xinjiang is relatively high. It is suggested that different standards of health strategies should be formulated according to different age groups and with or without complications, so as to reduce the economic burden of hydatid disease patients.