湖南省长沙市10个县肺结核患者费用分析

中国防痨杂志 ›› 2009, Vol. 31 ›› Issue (8): 449-453.

湖南省长沙市10个县肺结核患者费用分析

黄飞¹；王黎霞¹；杨华林²；白丽琼²

1. 中国疾控中心结核病预防控制中心北京 100050；2. 湖南省结核病防治研究所长沙 410013

出版日期:2009-08-10 发布日期:2011-11-03
基金资助:
加拿大McGill大学资助。

Analysis of cost for TB patients in 10 counties, Hunan

Huang Fei¹,Wang Lixia¹,Yang Hualin², Bai Liqiong²

1. National Center for TB Control and Prevention of China CDC, Beijing 100050, China;2. Anti-tuberculosis Research Institute of Hunan Province, Changsha 410013, China

Online:2009-08-10 Published:2011-11-03

摘要/Abstract

摘要： 目的了解涂阳肺结核患者从开始就诊到结束治疗整个过程中发生的各种费用，为国家制定、完善结核病防治策略和措施提供科学依据。方法对湖南省长沙市10个县共100名涂阳肺结核患者进行问卷调查，对调查所得数据进行分析。结果（1）涂阳肺结核患者出现症状首次就诊医疗机构依次为综合医院、结防机构、乡镇医院和个人诊所，所占比例分别为43%、20%、16%和11%；（2）整个患病过程的费用约为3678.8元，其中直接费用为2724.8元，间接费用为954.0元，有近一半的费用是在确诊后治疗过程中花费的；（3）确诊肺结核后，多数患者及其家庭经济收入受到不同程度的降低；（4）就诊延误为1.5个月，诊断延误为1.6个月。结论加强结核病防治工作的经费投入，以减轻结核病患者的经济负担。

关键词: 结核, 肺/经济学, 费用, 医疗, 湖南省

Abstract: ObjectiveTo find out various costs for TB patients from the very beginning to the end of the disease, and to provide scientific proof for the whole country to develop control and prevention policy. Methods100 smear positive pulmonary TB patients were selected from 10 counties in Hunan, these patients were interviewed with questionnaire and collected data were analyzed. Results(1) Medical facilities where smear positive pulmonary TB patients admit first when they have symptoms are general hospital, TB dispensary, township hospital and private clinic in sequence, and their ratios are 43%, 20%, 16% and 11% respectively; (2) The total cost for TB patient is about 3678.8 RMB, among which direct cost is 2724.8 RMB and indirect cost is 954.0 RMB. The cost for TB after diagnosis accounts for about half of the total cost; (3) Most patients’ income and their families’ income reduced after the patients were diagnosed with TB; (4) Patient delay is 1.5 months and diagnosis delay is 1.6 months. ConclusionsFund investment on TB control and prevention should be strengthened to alleviate economic burden of TB patients.

Key words: Tuberculosis,pulmonary/economics, Fees,medical, Hunan province

黄飞,王黎霞,杨华林,白丽琼. 湖南省长沙市10个县肺结核患者费用分析[J]. 中国防痨杂志, 2009, 31(8): 449-453.

Huang Fei¹,Wang Lixia¹,Yang Hualin², Bai Liqiong². Analysis of cost for TB patients in 10 counties, Hunan[J]. Chinese Journal of Antituberculosis, 2009, 31(8): 449-453.

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