中华皮肤科杂志 ›› 2021, Vol. 54 ›› Issue (4): 352-355.doi: 10.35541/cjd.20200794

• 调查报告 • 上一篇    下一篇

长沙地区玫瑰痤疮患者的支付意愿调查及影响因素分析

邓青    刘芳芬    施为    谢红付    李吉    黄莹雪   

  1. 中南大学湘雅医院皮肤科  国家老年疾病临床医学研究中心，长沙  410008
  • 收稿日期:2020-08-10 修回日期:2020-12-18 发布日期:2021-03-31
  • 通讯作者: 黄莹雪 E-mail:29103866@qq.com
  • 基金资助:
    国家自然科学基金（81502750）

Willingness to pay for treatment of rosacea and its influencing factors： a survey of patients in Changsha region

Deng Qing, Liu Fangfen, Shi Wei, Xie Hongfu, Li Ji, Huang Yingxue   

  1. Department of Dermatology, Xiangya Hospital, Central South University, National Clinical Research Center for Geriatric Disorders, Changsha 410008, China
  • Received:2020-08-10 Revised:2020-12-18 Published:2021-03-31
  • Contact: Huang Yingxue E-mail:29103866@qq.com
  • Supported by:
    National Natural Science Foundation of China（81502750）

PDF

26

PDF (Mobile)

0

摘要： 【摘要】 目的 调查玫瑰痤疮患者的支付意愿（WTP）并分析其影响因素，评估该疾病负担（生活质量）指标与皮肤病生活质量量表（DLQI）的相关性，为个体化诊治提供一定依据。方法 2019年8月至2020年2月期间于湘雅医院皮肤科通过微信招募玫瑰痤疮患者，采用网络问卷方式，通过对一种假设一次性治愈该病治疗手段的WTP进行调查，并采集患者个人基本信息、临床特征、DLQI等方面的数据。运用Logistic回归模型分析高WTP值的影响因素。结果 435例中，女397例（91.3%），男38例（8.7%），年龄18 ~ 63（28.46 ± 8.33）岁，既往就医花费为（10 474.95 ± 834.19）元，M（P25，P75）为5 000（1 000，10 000）元；WTP值为（12 510.86 ± 990.84）元，M（P25，P75）为5 000（2 000，10 000）元；DLQI评分为11.2 ± 0.38。以WTP值 > 5 000元定义为高WTP，在Logistic回归模型中，符合皮损主要位于面颊部（OR = 1.89，P = 0.041）及家庭年收入（OR = 1.63，P = 0.029）、病程（＞1年）（OR = 2.82，P < 0.001）、既往1年内就诊次数（OR = 1.62，P < 0.001）、自评玫瑰痤疮严重程度评分（OR = 1.16，P = 0.002）、DLQI得分（OR = 1.52，P < 0.001）高的人群，其WTP更高。Spearman相关分析DLQI得分与WTP（rs = 0.27，P < 0.05）及相对WTP（rs = 0.133，P < 0.05）均呈正相关。结论 长沙地区玫瑰痤疮患者中，WTP值处于中等偏高水平，反映了较为严重的生活质量受损。WTP值可间接反映皮肤病生活质量并快速了解疾病负担。

关键词: 红斑痤疮, 影响因素分析, 支付意愿, 疾病负担, 皮肤病生活质量

Abstract: 【Abstract】 Objective To investigate the willingness to pay（WTP）for treatment and its influencing factors, to evaluate the correlation between the disease burden （quality of life） index and dermatology life quality index （DLQI） in patients with rosacea, and to provide a basis for individualized diagnosis and treatment. Methods Patients with rosacea were enrolled via a WeChat platform at Department of Dermatology, Xiangya Hospital from August 2019 to February 2020. An online questionnaire survey was performed to investigate the WTP for a single session of treatment by which rosacea is assumed to be cured, and general information as well as data about clinical characteristics and DLQI scores were collected. Factors influencing high WTP were analyzed by using a logistic regression model. Results Among the 435 respondents, 397 （91.3%） were females and 38 （8.7%） were males, with an age of 28.46 ± 8.33 years （range, 18 - 63 years）. The respondents spent 10 474.95 ± 834.19 （M ［P25, P75］, 5 000 ［1 000, 10 000］） RMB Yuan on previous medical treatment; the WTP was 12 510.86 ± 990.84 （M ［P25, P75］, 5 000 ［2 000, 10 000］） RMB Yuan; the DLQI score was 11.2 ± 0.38. Logistic regression analysis showed that lesions on the cheeks （OR = 1.89, P = 0.041）, annual household income of > 100 000 RMB Yuan （OR = 1.63, P = 0.029）, disease duration of > 1 year （OR = 2.82, P < 0.001）, high number of visits in the past 1 year （OR = 1.62, P < 0.001）, high self-rated rosacea severity score （OR = 1.16, P = 0.002） and high DLQI score （OR = 1.52, P < 0.001） were associated high WTP for treatment. Spearman correlation analysis showed that the DLQI score was positively correlated with WTP （rs = 0.27, P < 0.05） and relative WTP （the proportion of WTP to monthly income, rs = 0.133, P < 0.05）. Conclusions Among the patients with rosacea in Changsha, the WTP was at a moderate to high level, reflecting a serious impact on the quality of life. The WTP value can indirectly reflect the quality of life and help to rapidly understand the burden of disease in patients with rosacea.

Key words: Rosacea, Root cause analysis, Willing to pay, Burden of disease, Dermatology life quality index