规范结核病诊疗服务实现零家庭灾难性卫生支出

Regulating tuberculosis medical care and achieving no affected families facing catastrophic costs due to tuberculosis

结核病是一种与贫困密切相关的疾病。尽管很多国家都为结核病患者提供免费治疗或灰疗保障?但在实际诊疗过程中.结核病患者的经济负担依然沉重?发生家庭灾难性卫生支出的情况不容乐观。我国结核病患者的经济负担以直接医疗费用为主.解析直接医疗费用?规范诊疗服务?不仅可以提高诊疗质量?也有助于避免不必要的住院、检查和药物的使用.从根本上减轻患者疾病经济负担.促进“终止结核病”策略的实现。

Tuberculosis (TB) is a disease closely related to poverty. With the government commitment, TB medical care are financed by government with free of charge services in many high TB-burden countries at present. However丒 the economic burden of TB patients for medical care is still heavy in some countries and the situation of catastrophic health costs due to TB is not optimistic. Direct medical cost has been the main economic burden to TB patients in China. An in-depth analysis on the composition of direct medical cost and the details of medical service could provide evidences on (juality of TB medical care, and the relevance and necessity of each service. Understanding the direct medical costs is the premise to reduce the economic hurtlen of TB patients and achieve the targets of "End TB" strategy.