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Volume 08
Journal of Community Medicine & Health Education
Public Health Summit 2018
May 24-25, 2018
May 24-25, 2018 Osaka, Japan
4
th
World Congress on
Public Health, Epidemiology & Nutrition
Estimating the direct medical economic burden of health care-associated infections in public tertiary
hospitals in Hubei Province, China
Jing Sun
Chinese Academy of Medical Sciences, China
Peking Union Medical College, China
T
his study estimated the attributable direct medical economic burden of health care-associated infections (HAIs) in China.
Data were extracted from hospitals’ information systems. Inpatient cases with HAIs and non-HAIs were grouped by the
propensity score matching (PSM) method. Attributable hospitalization expenditures and length of hospital stay were measured
to estimate the direct medical economic burden of HAIs. STATA 12.0 was used to conduct descriptive analysis, bivariate χ
2
test, paired Z test, PSM (r=0.25σ, nearest neighbor-1:1 matching) and logistic regress analysis. The statistically significant level
was set at 0.05. The HAIs group had statistically significant higher expenditures and longer hospitalization stay than the non-
HAIs group during 2013 to 2015 (P<0.001). The annual average HAI attributable total expenditure, medicines expenditure,
out-of-pocket expenditure and number of hospitalization days per inpatient were (2015 US$) 6173.02, 2257.98 and 1958.25
and 25 days during 2013 to 2015. The direct medical cost savings was estimated at more than 2015 US$12 billion per year in
Chinese tertiary hospitals across the country. The significant attributable direct medical economic burden of HAIs calls for
more effective HAI surveillance and better control with appropriate incentives.
sunjing@sph.pumc.edu.cnJ Community Med Health Educ 2018, Volume 8
DOI: 10.4172/2161-0711-C2-036