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目的评估2008-2010年贵州省流行性脑脊髓膜炎(流脑)的经济负担。方法在2008-2010年中国疾病预防控制信息系统报告的贵州省流脑病例中,随机调查50例的疾病经济负担。采用直接法计算疾病直接经济负担中住院医疗费用,出院后诊疗费用和直接非医疗费用采用访问的方法,对病患家属或/和病患开展回顾性调查,疾病间接经济负担采用回顾性调查、人力资本法与伤残调整寿命年(disabilty-adjusted life year,DALY)结合核算的方法。总疾病经济负担=疾病直接经济负担总额+疾病间接经济负担总额。结果 2008-2010年贵州省流脑年均发病36例,平均疾病经济负担1.66万元/例,年均疾病经济负担59.20万元,DALY所致经济损失占疾病经济负担的59.75%,直接医疗费用占21.07%,直接非医疗费用占16.05%,误工损失费用占3.13%。结论流脑造成贵州省较重的疾病经济负担。
Objective To evaluate the economic burden of epidemic cerebrospinal meningitis (meningitis) in Guizhou Province from 2008 to 2010. Methods In the meningitis cases of Guizhou Province reported by China Disease Control and Prevention Information System from 2008 to 2010, the economic burden of disease in 50 cases was investigated randomly. The direct method was used to calculate the direct medical costs of hospitalized medical expenses, post-discharge medical expenses and direct non-medical expenses using the method of interview, the patient’s family members and / or patients to conduct a retrospective survey, the indirect burden of disease using a retrospective survey, Human Capital Law and disabilty-adjusted life year (DALY) combined accounting method. Total disease economic burden = total direct economic burden of disease + total indirect economic burden of disease. Results The average incidence of meningitis in Guizhou Province was 36 cases in 2008-2010. The average economic burden of disease was 16.6 thousand yuan / case, the annual economic burden of disease was 592,000 yuan, the economic loss caused by DALY accounted for 59.75% of the economic burden of the disease, and the direct medical expenses Accounting for 21.07%, direct non-medical expenses accounted for 16.05%, loss of working time loss accounted for 3.13%. Conclusion The meningitis caused heavy burden of disease in Guizhou Province.