三城市肺结核患者医疗费用及经济负担分析

Analysis of the medical expenses and economic burden of pulmonary tuberculosis patients in three cities

目的分析呼和浩特市、开封市和连云港市肺结核患者的医疗费用及经济负担,为今后制定有关结核病控制政策和策略提供依据。方法从疫情网找出所有于2008年4月30日至2009年4月30日间在三城市专科医院曾经治疗过(包括门诊和住院),在当地居住的且调查时已完成治疗的确诊肺结核患者。将符合上述条件的所有患者名单发给课题组,课题组按照单纯随机抽样原则抽取100例患者。于2009年11—12月完成了对内蒙古呼和浩特市32例、河南省开封市32例和江苏省连云港市36例,共计100例肺结核患者的现场调查。了解患者家庭经济情况和治疗期间的费用情况,同时收集患者的病案,分析肺结核患者的医疗费用和经济负担。结果呼和浩特市、开封市和连云港市调查的100例患者,月均医疗费用占家庭月均非食品支出的率在94.6%～119.0%,三城市分别有84.4%(27/32)、90.6%(29/32)和88.9%(32/36)的患者产生了灾难性卫生支出。结论三城市肺结核患者医疗费用高,疾病经济负担沉重。

Objective To analyze the medical expenses and economic burden of pulmonary tuberculosis（TB） patients in Hohhot,Kaifeng and Lianyungang city, and to provide a basis for the future development of TB control policies and strategies. Methods We randomly sampled 100 cases of pulmonary TB patient from all the local pa- tients who had ever treated in the TB specialist hospitals （including outpatient and inpatient） between April 30, 2008 and April 2009 in the three cities and had completed the treatment before the survey. In November-December 2009, we completed the site investigation of the total 100 cases of pulmonary TB patients, 32 cases from Hohhot of Inner Mongolia, 32 cases from Kaifeng City of Henan and 36 cases from Lianyungang City of Jiangsu respectively. The purpose of the survey is to understand the economic situation of patients＇ family and the expenses during the treatment period, and analyze medical expenses and economic burden of patients. Results Among 100 cases of pa- tient investigated in the three cities, the average monthly medical expenses accounted for 94.6% to 119. 0%,to of household average monthly non-food expenditure. 84.4% （27/32）, 90.6% （29/32） and 88.9% （32/36） of patients respectively in Hohhot, Kaifeng and Lianyungang had catastrophic health expenditure. Conclusion The medical expenses of pulmonary TB in three cities is high, and of burden the disease economic was heavy.