峨山县2009—2011年农村居民手足口病住院疾病直接经济负担研究

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121病住院的农村居民病例有l073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。

Survey on the immediate economical burden of hospitalization of the rural population with hand-foot-and-mouth disease in Eshan,Yuxi,2009-2011

Objective To survey on the immediate economical burden of the rural population among the inpatients of the hand-foot-and-mouth disease （HFMD） cases, and evaluate the effectiveness of hospitalization compensation policy of rural residents for the HFMD in Eshan county,Yuxi,Yunnan,2009-2011. Method We analysed the expenses and compensation of hospitalization, and estimated the immediate economical burden. Results From 2009 to 2011, there were 1 073 cases of the HFMD. The total immediate economical burden of hospitalization was 871 505.7 yuan, and the actual median proportion of compensation was 39.6 （36.1,43.2）%. The immediate economical burden of hospitalization was 638.0（558.4,759.4） yuan/person, and had increase with years （P〈0.001）. In the level of county hospital, the actual median proportion of compensation was more than in province and municipal hospital （P〈0.05）. Conclusions The new rural cooperative medical policy had reduced the economical burden of rural residents for the HFMD, but the trends were not decreasing in the recently years. So we should give more attention about the economical burden of serious illness of the HFMD.