Visitsunthorn Nualanong, Durongpisitkul Worawan, Uoonpan Srisakul, Jirapongsananuruk Orathai, Vichyanond Pakit
Department of Pediatrics, Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok 10700, Thailand.
J Med Assoc Thai. 2005 Nov;88 Suppl 8:S16-20.
Asthma is one of the most common chronic diseases in children. Due to high admission rate for acute asthmatic attack, children often miss their schools and parents have to stop working to take care of them. These affect both mental and physical health as well as socioeconomic status of the family and the country.
To evaluate medical charge of asthma care in children admitted to the Department of Pediatrics, Faculty of Medicine Siriraj Hospital, Mahidol University.
The study was a retrospective and descriptive study. Data were collected from children with asthmatic attack admitted to the Department of Pediatrics, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand from January 1st, 2000 to June 30th, 2003. Cost of room, food, drugs, devices, laboratory study and service charge were recorded. Total medical charges per year, per patient per admission and per patient per day were calculated. Data were analyzed with Chi square test, ANOVA and Post Hoc test. A p value of < 0.05 was considered statistical significant.
Numbers of children with asthmatic attack admitted to the Department of Pediatrics, Siriraj Hospital increased between 2000-2002 (113,147 and 176 in 2000, 2001, and 2002). Seventy two percent of the patients were < or = 5 years of age. Most were mild intermittent asthma. The average duration of hospitalization was 4 days (95% CI, 3.6-4.3). Average medical charge per patient per admission and per day was 3236.20 and 998.60 Bahts respectively. There was no significant difference in the medical charge per patient among the admitted years. Medical charge of admission was significantly associated with the asthma severity. (p < or = 0.05)
The rate of admission from asthmatic attack in children at Siriraj Hospital and the total medical charge per year increased between 2000-2002. Nevertheless, medical charge of asthma admission per person was unchanged. Main expense in medical charge of asthma admission was the cost of medication and room. Severity of asthma was related directly to medical charge.
哮喘是儿童最常见的慢性疾病之一。由于急性哮喘发作的高住院率，儿童常常缺课，家长也不得不停工照顾他们。这些情况会影响儿童的身心健康以及家庭和国家的社会经济状况。
评估泰国玛希隆大学诗里拉吉医院儿科收治的哮喘患儿的医疗费用。
本研究为回顾性描述性研究。收集了2000年1月1日至2003年6月30日期间在泰国曼谷玛希隆大学诗里拉吉医院儿科住院的哮喘发作患儿的数据。记录了病房、食物、药品、设备、实验室检查及服务费的费用。计算了每年、每次住院及每日每位患者的总医疗费用。采用卡方检验、方差分析及事后检验对数据进行分析。p值<0.05被认为具有统计学意义。
2000 - 2002年期间，诗里拉吉医院儿科收治的哮喘发作患儿数量有所增加（2000年、2001年和2002年分别为113例、147例和176例）。72%的患者年龄≤5岁。大多数为轻度间歇性哮喘。平均住院时间为4天（95%可信区间，3.6 - 4.3天）。每次住院及每日每位患者的平均医疗费用分别为3236.20泰铢和998.60泰铢。各年份间每位患者的医疗费用无显著差异。住院医疗费用与哮喘严重程度显著相关（p≤0.05）。
2000 - 2002年期间，诗里拉吉医院儿童哮喘发作的住院率及每年的总医疗费用有所增加。然而，每位哮喘患者的住院医疗费用并未改变。哮喘住院医疗费用的主要支出是药品和病房费用。哮喘严重程度与医疗费用直接相关。
