Analysis of the annual direct economic burden and influencing factors of patients with systemic lupus erythematosus in Anhui province

ObjectiveTo analyze the direct economic burden and its influencing factors of patients with systemic lupus erythematosus(SLE), and provide the reference basis for reducing the economy burden of patients.

MethodsThe last year annual direct economic burden in SLE inpatients with disease duration ≥ 1 year in two top three hospitals in Anhui during January to May 2019 was investigated, and a multiple log-linear regression was used to analyze the influencing factors of direct economic burden.

ResultsThe median of the annual direct economic burden in 77 SLE inpatients was 15 520.0 Yuan, and the annual direct economic burden of 5.2%(4/77) patients exceeded their annual family income.When the logarithm of the annual direct economic burden was taken as the dependent variable, the results of multiple linear regression showed that the direct economic burden of urban medical insurance and new rural cooperative medical insurance patients were higher than that of self-paid patients(P < 0.01), and the disease activity stage and combined lupus nephritis could increase the annual direct economic burden of patients(P < 0.01).The longer the course of illness was, the lower the annual direct economic burden was(B=-0.09, P < 0.01).

ConclusionThe direct economic burden of patients with SLE in Anhui province is heavy.It is necessary to improve the medical insurance compensation mechanism, raise the awareness and proportion of people participating in insurance programs, actively treat complications.