艾滋病抗病毒治疗的相关费用分析

Analysis of Expenditures Related with Anti-retroviral Treatment for AIDS

目的:分析艾滋病抗病毒治疗相关的费用。方法:根据疾病发展和治疗的不同环节,收集某地2006—2011年参加抗病毒治疗的病人资料。结果:抗病毒治疗前检测的次均总费用、检查费和化验费分别为215.7元、85.4元和129.2元;治疗中随访检查的次均总费用、化验费分别为91.9元、77.2元;治疗毒副反应的次均住院总费用、检查费、化验费、药品费、诊疗费、护理费、床位费分别为3 131.7元、203.0元、351.7元、1 671.9元、317.1元、320.9元、307.7元;治疗机会性感染的各项费用分别为4 120.6元、339.1元、402.4元、2 101.5元、555.5元、378.7元、343.4元。结论:各类病人治疗前检测和治疗中随访的各项费用差异不大,女性略高于男性,29岁以下的病人略高于其他年龄组;文化水平影响毒副反应的总费用、检查费和药品费;不同文化、年龄、职业和感染途径的病人机会性感染治疗费用的差别在于检查费和化验费的不同。

Objective： To analyze the expenditures related with ART for AIDS. Methods： Data of patients participating in antirctroviral treatment （ART） for AIDS from 2006 to 2011 was collected according to ditferent stages of disease and treatment. Results： The average total expenditure for per detection, physical examination and laboratory testing before antiviral treatment were 215.7 yuan, 85.4 yuan and 129.2 yuan respectively. The average total expenditure for follow-up examination and laboratory testing during antiviral treatment was 91.9 yuan and 77.2 yuan respectively. The average expenditure of hospitalization, physical examination, laboratory testing, medicine, diagnosis, nursing services and accommodation for toxic side effect treatment ere 3 131.7 yuan, 203.0 yuan, 351.7 yuan, 1 671.9 yuan, 317.1 yuan , 320.9 yuan 307.7 yuan respectively. The average expenditure of hospitalization, physical examination, laboratory testing, medicine, diagnosis, nursing services and accommodation for opportunistic infection treatment ere 4 120.6 yuan, 339.1 yuan, 402.4 yuan, 2 101.5 yuan, 555.5 yuan, 378.7 yuan and 343.4 yuan respectively. Conclusions： The expenditures of detection before ART and follow-up during ART for all types of patients have little difference. The expenditure for female patients was higher than that of male patients, and the expenditure for patients under 29 years old was a little higher than that of other age-groups. Education level was associated with total expenditure, expenditure of physical examination and medicine for toxic side effect treatment. The difference of opportunistic infection treatment expenditure among patients with different education level, age-group, occupation and HIV transmission route mainly lay on physical examination and laboratory testing.