Sang Tian, Xiang Ting, Zhu Sai-Nan, Gao Jing-Yun, Jiang Yu-Wu, Wu Ye
1 Department of Pediatrics, Peking University First Hospital, Beijing, China.
2 Department of Medical Statistics, Peking University First Hospital, Beijing, China.
J Child Neurol. 2019 Feb;34(2):68-73. doi: 10.1177/0883073818811176. Epub 2018 Nov 28.
This study aimed to investigate the treatment-related annual cost of childhood epilepsy and its related factors in mainland China. A total of 244 cases were collected at the outpatient clinics of Peking University First Hospital Pediatrics from April 2010 to August 2013. The median annual epilepsy treatment-related costs per patient were estimated to be RMB7822 (US$1160), accounting for 43.72% (median) of urban residents' disposable income in China. Those who lived far away or with uncontrolled seizures yielded much higher costs. This study concluded that the treatment of children with epilepsy produces a heavy burden on both families and society in mainland China. The constitution ratio of antiepileptic drugs and travel expenses are much higher than those of other countries. Adjusting medical insurance coverage, balancing medical resource distribution, and taking good control of seizures might be effective in reducing the economic burden of childhood epilepsy in China.
本研究旨在调查中国大陆儿童癫痫的治疗相关年度费用及其相关因素。2010年4月至2013年8月期间，北京大学第一医院儿科门诊共收集了244例病例。估计每位患者每年癫痫治疗相关费用的中位数为7822元人民币（1160美元），占中国城镇居民可支配收入的43.72%（中位数）。居住在远处或癫痫发作未得到控制的患者费用要高得多。本研究得出结论，中国大陆癫痫儿童的治疗给家庭和社会都带来了沉重负担。抗癫痫药物和差旅费的构成比例远高于其他国家。调整医疗保险覆盖范围、平衡医疗资源分配以及有效控制癫痫发作可能有助于减轻中国儿童癫痫的经济负担。
