摘要目的了解北京市西城区带状疱疹(herpes zoster,HZ)门诊就诊病例的直接经济负担及影响因素.方法选择辖区带状疱疹就诊量最大的2所三级医院和2所二级医院,调查门诊患者的患病费用,了解带状疱疹门诊病例的直接经济负担,采用t检验或方差分析进行单因素分析,初步探索直接经济负担的影响因素,采用多元线性回归模型分析带状疱疹直接经济负担的影响因素.结果共调查带状疱疹218例,人均直接经济负担为l 614.47元(中位数为700元),其中医疗费用1 270.44元(中位数558元),非就医费用344.03元(中位数20元).随着年龄增加,带状疱疹人均直接经济负担随之增加(P＜0.05),其中65～岁以上年龄组最高(2 930.99元).带状疱疹后遗神经痛(PHN)患者的人均直接经济负担较高(4 142.04元).多元回归分析结果显示,年龄、医院级别、就诊次数、神经痛持续时间是直接经济负担的影响因素.结论带状疱疹直接经济负担的影响因素有年龄、就诊医院级别、就诊次数、是否住院治疗、神经痛时间,这些影响因素可作为未来降低带状疱疹直接经济负担的参考.

abstractsObjective This study was designed to explore direct economic burden and its relevant influencing factors of herpes zoster cases in outpatients.Methods Four hospitals,including 2 tertiary hospitals and 2 second-class hospitals in the district were selected.A questionnaire was designed to collect information related to direct economic costs.One-way analysis (t test or one-way ANOVA) and multivariate regression analysis were used to explore potential influencing factors.Results There were 218 cases enrolled in this survey,the average of direct economic cost was ￥1 614.47 (median ￥700),including the medical cost of ￥ 1 270.44 and indirect medical cost was ￥344.03.The direct economic cost increased with the aging (P＜0.05) and the highest cost (￥2 930.99) was in age group of 65-years.The direct economic burden of PHN was higher (￥4 142.04).The result of multivariate regression analysis revealed that age,hospital level,frequency of hospital visiting and the duration of PHN were the major influencing factors.Conclusions Age,hospital level,frequency of hospital visiting and the duration of PHN were the major influencing factors and can be taken as references to reduce the economic burden in the future.