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目的分析女性艾滋病病人因罹患机会性感染而住院的治疗费用情况。方法收集2008-2010年某疫情严重地区因机会性感染而住院的43例女性病人资料,包括基本情况、机会性感染类型、治疗费用;比较分析不同特征病人的各项治疗费用的差异。结果女性艾滋病病人治疗机会性感染的住院总费用平均为(3 418.6±2 671.3)元,检查费、化验费、药品费、诊疗费、护理费、床位费平均分别为(327.0±427.7)元、(354.6±363.6)元、(1 659.5±1 457.0)元、(450.4±485.8)元、(347.0±237.2)元、(280.1±187.1)元。不同民族感染者上述各项费用差异无统计学意义(均P>0.05)。不同职业中检查费和化验费差异有统计学意义(H=11.775、14.010,均P<0.05)。不同文化程度中化验费差异有统计学意义(H=9.007,P<0.05)。不同年龄中检查费和化验费差异有统计学意义(H=8.788、10.997,均P<0.05)。不同感染途径中化验费差异有统计学意义(U=-2.133,P<0.05)。不同类型机会性感染病人的护理费差异有统计学意义(H=9.082,P<0.05)。不同医院级别中三级医院费用均高于二级医院,其中检查费和化验费差异有统计学意义(U=-4.112、-4.697,均P<0.05)。结论该疫区女性艾滋病病人罹患机会性感染的住院治疗费用中,药品费占病人住院总费用的比例最高,导致病人个体费用差别的主要是检查费和化验费;三级医院治疗艾滋病机会性感染的检查费和化验费均高于二级医院,应建立必要的转诊机制,以节约医疗资源;需增大对女性艾滋病病人住院费用的减免力度,以减少因病致贫现象。
Objective To analyze the treatment cost of female AIDS patients hospitalized for opportunistic infections. Methods The data of 43 female patients hospitalized for opportunistic infections in a serious epidemic area from 2008 to 2010 were collected, including the basic information, types of opportunistic infections and treatment costs. The differences in treatment costs among different characteristics were compared. Results The average cost of hospitalization for opportunistic infections among female AIDS patients was (3 418.6 ± 2 671.3) yuan. The average examination fees, laboratory fees, medical expenses, medical expenses, nursing fees and bed charges were (327.0 ± 427.7) yuan, (354.6 ± 363.6) yuan, (1 659.5 ± 1 457.0) yuan, (450.4 ± 485.8) yuan, (347.0 ± 237.2) yuan, and (280.1 ± 187.1) yuan respectively. There was no significant difference in the above costs among different ethnic groups (all P> 0.05). The differences of examination fees and laboratory fees in different occupations were statistically significant (H = 11.775, 14.010, all P <0.05). There were significant differences in laboratory fees among different education levels (H = 9.007, P <0.05). There were significant differences in examination fees and laboratory fees between different ages (H = 8.788,10.997, all P <0.05). There were significant differences in laboratory tests among different routes of infection (U = -2.133, P <0.05). There were significant differences in the cost of nursing care for patients with different types of opportunistic infections (H = 9.082, P <0.05). The costs of tertiary hospitals in different hospital levels were higher than those in secondary hospitals, with the difference of examination fees and laboratory fees statistically significant (U = -4.112, -4.697, all P <0.05). Conclusions Of the hospitalized treatment costs of opportunistic infections among female HIV / AIDS patients in this affected area, the share of drug costs in the total cost of hospitalization is the highest, resulting in the difference of individual patient expenses being the examination fee and laboratory fee. The third level hospitals are also treating opportunistic infections of AIDS Of the inspection fees and laboratory fees are higher than the two hospitals should establish the necessary referral mechanism to save medical resources; need to increase the reduction of hospitalization costs for women AIDS efforts to reduce poverty caused by the phenomenon.