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中国防痨杂志 ›› 2019, Vol. 41 ›› Issue (5): 485-487.doi: 10.3969/j.issn.1000-6621.2019.05.004

• 专家笔谈 • 上一篇    下一篇

规范结核病诊疗服务 实现零家庭灾难性卫生支出

徐飚()   

  1. 200032 上海,复旦大学公共卫生学院流行病学教研室
  • 收稿日期:2019-04-06 出版日期:2019-05-10 发布日期:2019-05-10

Regulating tuberculosis medical care and achieving no affected families facing catastrophic costs due to tuberculosis

Biao XU()   

  1. Department of Epidemiology, School of Public Health, Fudan University, Shanghai 200032, China
  • Received:2019-04-06 Online:2019-05-10 Published:2019-05-10

摘要:

结核病是一种与贫困密切相关的疾病。尽管很多国家都为结核病患者提供免费治疗或医疗保障,但在实际诊疗过程中,结核病患者的经济负担依然沉重,发生家庭灾难性卫生支出的情况不容乐观。我国结核病患者的经济负担以直接医疗费用为主,解析直接医疗费用,规范诊疗服务,不仅可以提高诊疗质量,也有助于避免不必要的住院、检查和药物的使用,从根本上减轻患者疾病经济负担,促进“终止结核病”策略的实现。

关键词: 结核, 费用, 医疗, 患病代价, 按诊疗收费计划

Abstract:

Tuberculosis (TB) is a disease closely related to poverty. With the government commitment, TB medical care are financed by government with free of charge services in many high TB-burden countries at present. However, the economic burden of TB patients for medical care is still heavy in some countries and the situation of catastrophic health costs due to TB is not optimistic. Direct medical cost has been the main economic burden to TB patients in China. An in-depth analysis on the composition of direct medical cost and the details of medical service could provide evidences on quality of TB medical care, and the relevance and necessity of each service. Understanding the direct medical costs is the premise to reduce the economic burden of TB patients and achieve the targets of “End TB” strategy.

Key words: Tuberculosis, Fees, medical, Cost of illness, Fee-for-service plans