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目的了解长治地区乙肝相关疾病直接经济负担及其影响因素。方法对住院患者采用面对面深度访谈的方式进行调查,采用多元逐步回归分析乙肝相关疾病直接经济负担的影响因素,使用SPSS16.0进行统计分析。结果乙肝相关疾病直接经济负担为17 462.01元,其中直接医疗费用和直接非医疗费用分别为15 978.30元和1 483.71元,各类乙肝相关疾病的直接医疗费用均大于直接非医疗费用;直接经济负担占家庭收入和人均收入的比重以原发性肝癌最高,分别为1.32和5.82倍;年龄、全家月均收入、是否使用抗病毒药、有无自购药品是其主要影响因素。结论长治地区乙肝相关疾病患者直接经济负担沉重,降低住院费用,控制药品费用,有效预防和控制病毒性感染,可缓解乙肝患者直接经济负担。
Objective To understand the direct economic burden of hepatitis B related diseases and its influencing factors in Changzhi area. Methods Inpatients were interviewed by means of face-to-face depth interviews. Factors influencing the direct economic burden of hepatitis B-related diseases were analyzed by multivariate stepwise regression. SPSS16.0 was used for statistical analysis. Results The direct economic burden of hepatitis B related diseases was 17 462.01 yuan, of which the direct medical costs and direct non-medical expenses were 15 978.30 yuan and 1 483.71 yuan respectively. The direct medical costs of all kinds of hepatitis B related diseases were greater than the direct non-medical expenses. The direct economic burden Accounting for the proportion of family income and per capita income in patients with primary liver cancer were the highest, respectively, 1.32 and 5.82 times; age, average monthly household income, whether to use antiviral drugs, with or without self-purchased drugs is the main influencing factor. Conclusion The direct economic burden of patients with hepatitis B related diseases in Changzhi is very low, the cost of hospitalization is reduced, the cost of medicine is controlled, and the prevention and control of viral infections can be effectively alleviated.