title: Direct economic burden and influencing factors in patients with hepatitis B virus related diseases in Jiangsu, China.
abstract: The purpose of this study was to explore direct economic burden and its influencing factors in patients with hepatitis B virus (HBV) related diseases. Time phasing continuous sampling was used to select patients from August 1, 2012, to December 31, 2012, in 3 county hospitals of 3 model regions in Jiangsu Province, China. A total of 436 outpatients and 196 inpatients were observed. The average direct economic burden of HBV-associated admission was US$107.11 for outpatients, and drug fees accounted for 74%; the burden was US$3193.47 for inpatients, and the direct medical costs accounted for 96%. Multivariate linear regression analysis showed that drug fee, examination fee, and antiviral therapy were influencing factors for outpatients, while hospitalization stay, drug ratio, and patient's age were influencing factors for inpatients. It can be concluded that the direct economic burden of patients with HBV-related diseases was high compared to their household income. Measures should be taken to reduce the economic burden of patients.
authors.affiliation: Department of Medical Insurance, School of Public Health, Southeast University, Nanjing, Jiangsu, China.
authors.forename: Hua
authors.initials: H
authors.lastname: Zhang
authors.affiliation: Department of Medical Insurance, School of Public Health, Southeast University, Nanjing, Jiangsu, China.
authors.forename: Jianqian
authors.initials: J
authors.lastname: Chao
authors.affiliation: Jiangsu Provincial Center for Disease Control and Prevention, Nanjing, Jiangsu, China.
authors.forename: Liguo
authors.initials: L
authors.lastname: Zhu
authors.affiliation: Department of Medical Insurance, School of Public Health, Southeast University, Nanjing, Jiangsu, China.
authors.forename: Long
authors.initials: L
authors.lastname: Song
authors.affiliation: Department of Epidemiology and Biostatistics, School of Public Health, Southeast University, Nanjing, Jiangsu, China.
authors.forename: Xiyan
authors.initials: X
authors.lastname: Li
authors.affiliation: Department of Epidemiology and Biostatistics, School of Public Health, Southeast University, Nanjing, Jiangsu, China liupeiseu@126.com.
authors.forename: Pei
authors.initials: P
authors.lastname: Liu
mesh_terms: D000293:Adolescent; D000328:Adult; D000367:Age Factors; D000368:Aged; D000369:Aged, 80 and over; D002648:Child; D002681:China; D005252:Fees, Pharmaceutical / Q000706:statistics & numerical data; D005260:Female; D006509:Hepatitis B / Q000191:economics*; D006760:Hospitalization / Q000191:economics; D006801:Humans; D007297:Inpatients / Q000706:statistics & numerical data; D008297:Male; D008875:Middle Aged; D010045:Outpatients / Q000706:statistics & numerical data; D055815:Young Adult
keywords: China; economic burden; factors; hepatitis B virus; inpatients; outpatients