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目的分析虹口区轻型手足口病(HFMD)经济负担及就诊情况,为政府和有关部门提供决策依据。方法对国家疾病监测信息报告管理系统中2012年虹口区部分街道的HFMD病例进行问卷调查,收集相关信息进行分析。结果共调查HFMD轻症病例466例,平均门诊费用为732.90元,平均住院费用为6 188.00元。2012年虹口区HFMD直接经济负担为106万元,其中直接医疗费用为102.3万元,直接非医疗费用为3.7万元。儿童患者就诊医院类型主要为儿童专科医院,综合性医院就诊的比例相对较少。患者在儿童专科医院就诊的门诊时间、交通时间、门诊费用、交通费用均高于综合性医院。结论 HFMD给患者和社会均造成了较重的经济负担。将部分轻型HFMD病例分流至综合性医院,可以缓解目前儿童专科医院人满为患的状况。HFMD的治疗中存在滥用抗生素现象,应严格规范抗生素的适用范围。
Objective To analyze the economic burden and treatment of HFMD in Hongkou District and provide the government and relevant departments with decision-making basis. Methods A questionnaire survey was conducted on HFMD cases in some streets of Hongkou District in 2012 in the national disease surveillance information reporting management system, and relevant information was collected for analysis. Results A total of 466 mild cases of HFMD were investigated, with an average outpatient cost of 732.90 yuan and an average hospitalization cost of 6 188.00 yuan. In 2012, the direct economic burden of HFMD in Hongkou District was 1.06 million yuan, of which the direct medical expenses was 1.023 million yuan and the direct non-medical expenses was 37,000 yuan. The main types of hospital visits for pediatric patients are pediatric specialist hospitals, and the proportion of general hospitals is relatively small. Outpatient time, transportation time, outpatient expenses and transportation costs were higher in general hospitals than in general hospitals. Conclusion HFMD has caused heavy financial burden on both patients and society. The diversion of some cases of mild HFMD to general hospitals can alleviate the overcrowding in the current specialist hospitals. There is abuse of antibiotics in the treatment of HFMD, should strictly regulate the scope of antibiotics.