Healthcare for Patients with Hepatitis B Virus:Analysis of 367381 Inpatient Cases in China  

作　　者：Da ZHOU Shi-ran SUN Yang SUN Rui MIN 

机构地区：[1]Center for Health Information and Statistics of Hubei,Wuhan 430079,China [2]Department of Hepatobiliary Surgery,Union Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430022,China [3]School of Politics and Management,Wuhan University,Wuhan 430072,China [4]School of Public Health,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430030,China

出　　处：《Current Medical Science》2022年第3期658-665,共8页当代医学科学（英文）

基　　金：the Fundamental Research Funds for the Central Universities(No.2020kfyXJJS057);China Association for Science and Technology Foundation(No.20200608CG111320).

摘　　要：Objective Hepatitis B virus(HBV)infection,which has been recognized as an international public health challenge,has caused significant morbidity for the entire world.This research focused on patients with HBV in China to examine health utilization and expenses.Methods Patients hospitalized with HBV from 2017 to 2019 in tertiary hospitals in Hubei,a province located in central China,were selected as the study population.Healthcare information was collected from the provincial inpatient electronic system database.Univariate and regression analyses were performed to describe the basic situation of healthcare services and determine the influencing indicators of inpatient service expenditure.Results A total of 367381 cases of HBV infection were identified in the study area.Most of these cases were patients who were married(90.2%)and males(63%).With the great efforts by the universal coverage of the basic medical insurance(BMI)in China,the increasing rate of inpatient hospitalization for HBV was 3.5 times higher than that of the total inpatient health service cases in the study area.The average age of this group was 52.84±14.10 years and 11.1%of patients paid for their own medical expenditures without insurance.The average length of stay(LOS)was 11.10 days,and the average cost per patient was 15712.05 RMB.Both values were higher than the average level in study area.Gender,marital status,career,payment type,and kind of hospitals significantly influenced healthcare utilization.Males and the elderly might incur higher healthcare costs than their counterparts.Conclusion The BMI operated by government has played a role in the utilization release of health services for HBV carriers.However,researchers must pay more attention to the continuing increase in the medical expenses of this group.

关 键 词：healthcare utilization EXPENDITURE hepatitis B virus infection INPATIENTS HOSPITALIZATION 

分 类 号：F42[经济管理—产业经济]