关键词: 狂犬病, 疾病负担, 直接经济负担, 间接经济负担

Abstract:

Objective Analyze and evaluate the economic burden of rabies exposure population in Zhejiang province, so as to provide a quantitative basis for health administrative departments to develop disease prevention strategies. Methods Literature retrieval and questionnaire collection were used to get the general features of the 1 471 cases of dog hurt exposure in dog hurt outpatient service from February to May, 2012. The direct medical costs, the direct medical costs and delays indirect economic burden were analyzed. Through DALY and human resources to estimate the dog hurt exposed economic burden. Results Median direct medical costs was RMB 220.42 Yuan, and the direct non-medical costs was RMB 16.24 Yuan, which transportation costs accounted 76.10% was the highest. The indirect economic burden due to the loss caused by per capita was RMB 135.96 Yuan, and particularly 72.73% of all was the families delay loss. In Zhejiang province total population, the indirect economic burden of post-exposure of rabies was RMB 77 487 000 Yuan (Delay work loss). According to the weight of different age groups, calculated the Zhejiang rabies death all the population average indirect economic burden for RMB 15 767 614.70 Yuan, which 45-60 years (46.51%) and 15-45 years (46.43%) old group were the highest percentage. Economic burden of post-exposure of rabies in Zhejiang province was RMB 400.34 Yuan per capita, of which the direct medical cost of total economic burden ratio of 59.12%, followed by the indirect economic burden caused by delays, accounted for 33.97%. If the grade Ⅲ exposures to accept human rabies immunoglobulin, so will the economic burden for the 4%-20%. Economic burden was overwhelmed. Conclusion Transportation accounts for direct and has the highest percentage of medical costs, should be reasonable to layout dog injury outpatient services, which location and quantity should satisfy a range of services. The family cost (direct economic costs and delays indirect economic burden) was higher than the social cost (death indirect economic burden). Direct economic burden, especially direct medical costs was the main source of the economic burden of post-exposure of rabies. The government should formulate relevant policies to help low-income people in cost, improve the clinic proportion, improve grade Ⅲ exposure rate of immunoglobulin injections.

Key words: Rabies, Disease burden, The direct economic burden, The indirect economic burden