不同病程组精神分裂症患者住院治疗成本-效果分析

The Cost and Effectiveness Analysis among Different Course Groups of Hospitalized Schizophrenes

目的评估4组不同病程阶段精神分裂症患者单次住院治疗所取得的成本-效果.方法随机选取166例住院精神分裂症患者,其中首发组35例,5 a以下组56例,5～10 a组41例,10 a及以上组34例,对各组患者进行治疗成本调查并评估其住院治疗期间精神病症状康复水平(E1)和生命质量改善状况(E2),并计算各组成本效果比.结果按病程的递增,4组患者入院治疗的成本效果比(C/E1、C/E2)分别为:207.4元/分、215.4元/分、407.9元/分、418.2元/分;288.3元/分、328.8元/分、491.9元/分、778.0元/分,均呈现出上升趋势.结论首发和短病程住院治疗精神分裂症患者相对于长病程患者而言具有更好的卫生经济学评价结果,因此精神分裂症的早诊早治具有重要意义.

Objective To assess and compare the cost and effectiveness among different course groups of hospitalized schizophrenes.Methods 166 schizophrenes were selected randomly,and divided to four groups according to the disease course： first episode group（35）.the group less than 5 years（56）,the group from 5 years to 10 years（41）,the group more than 10 years（34）,the schizophrenes in each group were investigated the cost of hospitalization and assessed the recovery of mental symptom（E1） and the improvement of quality of life（E2）.Results With the increasing course of disease,the cost/effectiveness（C/E1,C/E2） of these four groups hospitalized schizophrenes were： 207.4,215.4,407.9,418.2;288.3,328.8,491.9,778.0,the unit of measurement was RMB yuan/fen,both C/E1,C/E2 showed an increasing trend.Conclusion Compared with long course of hospitalization schizophrenes,first episode and short course of schizophrenes have better assessment of health economics,suggesting the importance of early diagnosis and treatment for schizophrenia.