目的:初步探讨重庆开县结核病经济损失。方法:在一个月内对门诊120名患者和20名住院患者,通过问卷调查其医疗费支出及本人和陪同者就医时交通住宿费、误工等。然后拫据全年门诊确诊人数和住院人数推算全年因结核病所致直接、间接经济负担及总的经济负担。结果:120名门诊患者确诊前就医人均支出1 100元,确诊后至治疗结束人均就医支出5 025元;20名住院患者住院前就医人均支付4 070元,住院期间人均需支付10 778元。按每年新发病1 200人、住院175人推算,一年直接经济负担约989.4万元。而间接经济负担达1 083.1万元,合计经济损失达2 072.5万元。结论:开县结核病经济负担较重,其中直接经济负担中因不能及时诊治占20%;间接经济负担中,不能外出务工所致损失最多,约占70%。因此加强结核病防治健康教育,及早诊断治疗,对恢复健康、减少经济负担具有重要意义。 Objective: To explore the economic loss of tuberculosis in Kai County of Chongqing. Methods: Within a month, 120 outpatients and 20 inpatients were surveyed by medical questionnaires for their medical expenses, transportation accommodation fees and lost time for themselves and their escorts. According to the number of outpatients diagnosed in the year and the number of inpatients, the direct and indirect financial burden caused by tuberculosis and the overall financial burden are estimated. Results: Per capita expenditures of medical treatment in 120 outpatients were 1,100 yuan, and per capita medical expenses from the time of diagnosis up to the end of treatment were 5,025 yuan. 20 inpatients were paid per hospitalized 4,070 yuan and 10,778 yuan per capita during hospitalization. According to the annual incidence of 1 200 new people, hospitalized 175 projections, a year the direct economic burden of about 9894000 yuan. The indirect economic burden amounted to 10.831 million yuan, with a total economic loss of 20.725 million yuan. Conclusion: The economic burden of TB in Kaixian County is heavy, among which the direct economic burden accounts for 20% because of the failure of timely diagnosis and treatment. In the indirect economic burden, the most loss due to not being able to go out to work is about 70%. Therefore, to strengthen health education on prevention and treatment of tuberculosis and to diagnose and treat it as soon as possible is of great significance to restoring health and reducing economic burden.