Direct cost of dengue hospitalization in Zhongshan, China: Associations with demographics, virus types and hospital accreditation

作者：Jing Hua Zhang, Juan Yuan, Tao Wang · 发表于：PLoS neglected tropical diseases · 年份：2017 · DOI：10.1371/journal.pntd.0005784 · 被引用次数：21 · 研究领域：Mosquito-borne diseases and control、Parasitic Diseases Research and Treatment、Parasites and Host Interactions

BACKGROUND: Zhongshan City of Guangdong Province (China) is a key provincial and national level area for dengue fever prevention and control. The aim of this study is to analyze how the direct hospitalization costs and the length of stay of dengue hospitalization cases vary according to associated factors such as the demographics, virus types and hospital accreditation. METHOD: This study is based on retrospective census data from the Chinese National Disease Surveillance Reporting System. Totally, the hospital administrative data of 1432 confirmed dengue inpatients during 2013-2014 was obtained. A quantile regression model was applied to analyze how the direct cost of Dengue hospitalization varies with the patient demographics and hospital accreditation across the data distribution. The Length of Stay (LOS) was also examined. MAIN FINDINGS: The average direct hospitalization cost of a dengue case in this study is US$ 499.64 during 2013, which corresponded to about 3.71% of the gross domestic product per capita in Zhongshan that year. The mean of the Length of Stay (LOS) is 7.2 days. The multivariate quantile regression results suggest that, after controlling potential compounding variables, the median hospitalization costs of male dengue patients were significantly higher than female ones by about US$ 18.23 (p<0.1). The hospitalization cost difference between the pediatric and the adult patients is estimated to be about US$ 75.25 at the median (p<0.01), but it increases shar...