Center for Health Information and Statistics of Hubei, Wuhan, 430079, China.
Department of Hepatobiliary Surgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430022, China.
Curr Med Sci. 2022 Jun;42(3):658-665. doi: 10.1007/s11596-022-2575-7. Epub 2022 Apr 22.
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.
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.
A total of 367 381 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 15 712.05 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.
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.
乙型肝炎病毒（HBV）感染已被公认为国际公共卫生挑战，给全世界带来了巨大的疾病负担。本研究聚焦于中国的 HBV 患者，旨在探讨其卫生服务利用和费用情况。
本研究选取了 2017 年至 2019 年期间，在华中地区湖北省三级医院住院的 HBV 患者作为研究对象。从省级住院电子系统数据库中收集医疗保健信息。采用单因素和回归分析描述医疗服务的基本情况，并确定住院服务支出的影响指标。
本研究共纳入 367381 例 HBV 感染病例。这些病例大多已婚（90.2%）且为男性（63%）。在中国基本医疗保险（BMI）全民覆盖的大力推动下，HBV 住院患者的增长率是研究地区总住院卫生服务病例的 3.5 倍。该组患者的平均年龄为 52.84±14.10 岁，11.1%的患者无保险自费医疗。平均住院日为 11.10 天，每位患者的平均费用为 15712.05 元人民币。这两个值均高于研究地区的平均水平。性别、婚姻状况、职业、支付类型和医院类型对卫生服务利用有显著影响。男性和老年人的医疗费用可能高于其同龄人。
政府运营的 BMI 在释放 HBV 携带者的卫生服务利用方面发挥了作用。然而，研究人员必须更加关注这一人群医疗费用的持续增长。
