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目的了解2011年河南省手足口病流行期间患者的家庭经济负担情况。方法 2011年河南省手足口病流行期间,在市、县两级医疗机构随机选择手足口病门诊病例、住院病例,采用问卷调查、医院收费系统查询及随访相结合的方法,收集患者就医的直接及间接费用。结果共调查手足口病病例470例。门诊病例人均花费426.72元,轻症住院病例人均花费2 833.87元,重症住院病例人均花费9 196.10元,危重症住院病例人均花费34 543.55元。结论手足口病重症和危重症住院病例给河南省居民带来的经济负担十分沉重,尤其是可能直接导致农村家庭因病致贫或因病返贫。对此,一方面应继续加强手足口病的预防控制工作力度;另一方面应提高医疗社会保障的服务范围和水平,以达到减轻手足口病社会和家庭经济负担的目的。
Objective To understand the family financial burden of patients during the HFMD epidemic in Henan Province in 2011. Methods During the epidemic of hand, foot and mouth disease in Henan Province in 2011, medical institutions in cities and counties randomly selected hand-foot-mouth disease outpatient cases and hospitalized cases. The methods of questionnaire survey, hospital charge system inquiry and follow-up were used to collect the direct treatment of patients And indirect costs. Results A total of 470 HFMD cases were investigated. Outpatient cases cost 426.72 yuan per capita, per capita expenditure for minor hospitalizations was 2 833.87 yuan, per capita expenditure for intensive care cases was 9 196.10 yuan, and perinatal intensive care patients per capita spent 34 543.55 yuan. Conclusions The hospitalization of HFMD patients with severe and critically ill HFMD is very heavy, which may directly cause rural families to become poor or return to poverty due to illness. In this regard, on the one hand, prevention and control of hand-foot-mouth disease should continue to be strengthened; on the other hand, the scope and level of medical social security services should be raised so as to reduce the social and family financial burden of hand-foot-mouth disease.