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目的通过分析峨山县2009-2011年农村居民手足口病住院疾病直接经济负担,探讨手足口病对农村居民造成的疾病经济负担。方法对手足口病新农合住院报销病例的住院费用等进行分析,以住院总费用与新农合报销费用之差计算住院直接经济负担。结果 2009-2011年,因手足口病住院的农村居民病例有1073例,住院疾病直接经济负担总额871505.7元,实际补偿比39.6(36.1,43.2)%,人均疾病直接经济负担638.0(558.4,759.4)元,实际补偿比、人均疾病直接经济负担有逐年增加的趋势(P均<0.001)。县区级医疗机构就诊的病例其实际补偿比大于省市级,差异有统计学意义(P<0.05)。结论新农合的实施一定程度上减轻了农村居民的手足口病住院直接经济负担,但并未有明显的减轻趋势,探索手足口重症病例特别补偿方式尤为重要。
Objective To analyze the direct economic burden of hospitalized hand, foot and mouth disease in 2009 and 2011 in Asan County, and to explore the economic burden of hand, foot and mouth disease on rural residents. Methods To analyze the hospitalization expenses of hand-foot-mouth disease in NCMS reimbursement cases and calculate the direct economic burden of hospitalization based on the difference between the total cost of hospitalization and the reimbursement expense of NCMS. Results From 2009 to 2011, there were 1073 cases of rural residents hospitalized for hand-foot-mouth disease, the direct economic burden of hospitalization was 871,505.7 yuan, the actual compensation ratio was 39.6 (36.1,43.2)%, the direct economic burden per capita was 638.0 (558.4,759.4) Yuan, the actual compensation ratio, the direct economic burden per capita diseases have increased year by year (all P <0.001). The actual compensation ratio of county-level medical institutions was higher than that of provinces and municipalities, the difference was statistically significant (P <0.05). Conclusion The implementation of NRCMS alleviates the direct economic burden of hand-foot-mouth disease in rural residents to a certain extent, but there is no significant reduction trend. It is particularly important to explore the special compensation method for HFMD patients.