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不同归口管理模式下肺结核病人疾病经济负担研究 被引量:23

Analysis of the financial burden of pulmonary tuberculosis patients under different management model in Zhejiang province
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摘要 目的调查不同结核病归口管理模式下肺结核病人的疾病经济负担。方法采用分层整群随机抽样方法选取样本县,通过问卷调查了不同结核病归口管理模式下16个样本县中肺结核病人419例,利用经济学评价方法,探讨其肺结核病人疾病经济负担。结果肺结核病人的人均疾病经济负担为3 842元,不同模式间肺结核病人的疾病经济负担分别为3 319、4 0314、271元,总体上没有统计学差异,具体到模式内的不同地区(F=3.8,P<0.05)存在统计学差异,病人支出占纯收入比例达94.1%,占家庭纯收入比例达64.8%;在病人疾病经济负担中比例最高的为住院费,占22.4%,三种模式中均以住院费的比例最高,其次是护肝药费。肺结核病人在医院治疗的疾病经济负担总体上要比在疾控中心治疗高(F=7.5,P<0.05)。国家提供的免费额度占疾病经济负担的平均比例为17.2%,病人自身要承担疾病经济负担的83.0%。结论肺结核病人的疾病经济负担还是比较高,政府应该进一步加大投入,同时要严格控制住院比例、住院费用、辅助用药费用,以进一步降低肺结核病人的疾病经济负担。 Objective To analyze the financial burden of pulmonary tuberculosis patients under different management model. Methods Randomized stratified clustered sampling method was used to select 419 tuberculosis pulmonary cases in 16 sample counties, and questionnaire was used to collect data of the patients under different management models. Economic evaluation method was usod to analyze the financial burden of pulmonary tuberculosis patients. Results The average financial burden of pulmonary tuberculosis patients was 3842 yuan. Under three different management modes the financial burden were 3319 yuan, 4031 yuan and 4271 yuan respectively. There was no significant difference among the different management models. However, there was signifi- cant difference in different areas under three different management models ( F = 3.8, P 〈 0.05). The ratio of disease expenditure to the net income of the patient was 94.1%, the ratios of disease expenditure to the net in- come of the patient' s family was 64.8 %. The proportion of expenditure of hospitalization listed as the biggest ex- penditure in the financial burden of pulmonary tuberculosis patients was 22.4 %. Among the three management models, expenditure of hospitalization was the biggest expenditure in the financial burden of pulmonary tuberculosis patients, followed by the expenditure on drugs to protect liver function. The average financial burden of pul, monary tuberculosis patients treated in general hospital was higher than it in center for disease control and preven- tion ( F = 7.5, P 〈 0.05). The free supplies provided by government accounted for 17.2% among the financial burden averagely and the patients paid,83.0% of the financial burden themselves. Conclusions The financial burden of pulmonary tuberculosis patients was high. In order to reduce the financial burden of pulmonary tuberculosis patients, the government should increase the input to TB control and meanwhile strictly control the rate of hospitalization, the expenditure of hospitalization and expenditure on the assistant durg.
出处 《中国防痨杂志》 CAS 2006年第6期354-358,共5页 Chinese Journal of Antituberculosis
关键词 结核 肺/经济学 Pulmonary tuberculosis/economics
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