Cost burden and temporal trends of herpes zoster in China: Evidence from Beijing's health records

Objective: Herpes zoster poses a significant health threat to the aging population in China. This study aimed to analyze the cost burden and temporal trends of herpes zoster in China. Methods: This study encompassed herpes zoster outpatients from 15 hospitals between 2016 and 2023 and herpes zoster...

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Main Authors: Zhenyu Shi, Feng Lu, Yiqi Xia, Ping He
Format: Article
Language:English
Published: Elsevier 2025-05-01
Series:Preventive Medicine Reports
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Online Access:http://www.sciencedirect.com/science/article/pii/S2211335525000853
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author Zhenyu Shi
Feng Lu
Yiqi Xia
Ping He
author_facet Zhenyu Shi
Feng Lu
Yiqi Xia
Ping He
author_sort Zhenyu Shi
collection DOAJ
description Objective: Herpes zoster poses a significant health threat to the aging population in China. This study aimed to analyze the cost burden and temporal trends of herpes zoster in China. Methods: This study encompassed herpes zoster outpatients from 15 hospitals between 2016 and 2023 and herpes zoster inpatients from 175 hospitals between 2013 and 2023. We used descriptive analysis and log-linear model to investigate herpes zoster related cost burden and their temporal trends during the selected period. Results: Over the past eight years, outpatient visits increased by about 23.8 % across the selected hospitals, while inpatient discharges increased by approximately 124.8 %. About 23.6 % of the outpatient cases were under 45 years of age. The cost per outpatient visit fluctuated at approximately 57 USD, while the cost per hospitalization increased by over 20 %, reaching around 1931 USD in 2023. Older patients and those with post-herpetic neuralgia experienced higher herpes zoster related healthcare costs and utilization. Conclusions: Our findings suggest that although the average cost per visit or discharge changed little in China, the growing demand for herpes zoster healthcare highlights the necessity of more preventive efforts to reduce the burden on both individuals and the healthcare system.
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spelling doaj-art-7f6d0a9b640e4a30bfe39a6b5ea985482025-08-20T03:42:15ZengElsevierPreventive Medicine Reports2211-33552025-05-015310304610.1016/j.pmedr.2025.103046Cost burden and temporal trends of herpes zoster in China: Evidence from Beijing's health recordsZhenyu Shi0Feng Lu1Yiqi Xia2Ping He3School of Public Health, Peking University, Beijing 100191, China; China Center for Health Development Studies, Peking University, Beijing 100191, China; Beijing Institute for Health Development, Peking University, Beijing 100191, ChinaBeijing Municipal Health Big Data and Policy Research Center, Beijing 101160, ChinaSchool of Public Health, Peking University, Beijing 100191, China; China Center for Health Development Studies, Peking University, Beijing 100191, ChinaChina Center for Health Development Studies, Peking University, Beijing 100191, China; Beijing Institute for Health Development, Peking University, Beijing 100191, China; Corresponding author at: China Center for Health Development Studies, Peking University, 38 Xueyuan Rd, Haidian District, Beijing, China.Objective: Herpes zoster poses a significant health threat to the aging population in China. This study aimed to analyze the cost burden and temporal trends of herpes zoster in China. Methods: This study encompassed herpes zoster outpatients from 15 hospitals between 2016 and 2023 and herpes zoster inpatients from 175 hospitals between 2013 and 2023. We used descriptive analysis and log-linear model to investigate herpes zoster related cost burden and their temporal trends during the selected period. Results: Over the past eight years, outpatient visits increased by about 23.8 % across the selected hospitals, while inpatient discharges increased by approximately 124.8 %. About 23.6 % of the outpatient cases were under 45 years of age. The cost per outpatient visit fluctuated at approximately 57 USD, while the cost per hospitalization increased by over 20 %, reaching around 1931 USD in 2023. Older patients and those with post-herpetic neuralgia experienced higher herpes zoster related healthcare costs and utilization. Conclusions: Our findings suggest that although the average cost per visit or discharge changed little in China, the growing demand for herpes zoster healthcare highlights the necessity of more preventive efforts to reduce the burden on both individuals and the healthcare system.http://www.sciencedirect.com/science/article/pii/S2211335525000853Herpes zosterDisease burdenHealthcare costOutpatient careHospitalization
spellingShingle Zhenyu Shi
Feng Lu
Yiqi Xia
Ping He
Cost burden and temporal trends of herpes zoster in China: Evidence from Beijing's health records
Preventive Medicine Reports
Herpes zoster
Disease burden
Healthcare cost
Outpatient care
Hospitalization
title Cost burden and temporal trends of herpes zoster in China: Evidence from Beijing's health records
title_full Cost burden and temporal trends of herpes zoster in China: Evidence from Beijing's health records
title_fullStr Cost burden and temporal trends of herpes zoster in China: Evidence from Beijing's health records
title_full_unstemmed Cost burden and temporal trends of herpes zoster in China: Evidence from Beijing's health records
title_short Cost burden and temporal trends of herpes zoster in China: Evidence from Beijing's health records
title_sort cost burden and temporal trends of herpes zoster in china evidence from beijing s health records
topic Herpes zoster
Disease burden
Healthcare cost
Outpatient care
Hospitalization
url http://www.sciencedirect.com/science/article/pii/S2211335525000853
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