摘要
目的:分析使用标准化服务包治疗对耐多药肺结核患者住院费用的影响。方法:通过结构式调查表收集项目干预期间107例耐多药肺结核患者的基本情况和住院信息,采用广义线性模型进行多因素分析。结果:使用标准服务包治疗的耐多药肺结核患者次均住院费用为3819.49元,日均住院费用为97.84元,分别为未使用标准服务包治疗患者的52.51%和44.23%;患者住院药品费用所占比例由59.93%下降到26.59%,但辅助检查费由8.44%上升到25.62%。干预后患者的登记分类、定点医院床位数和住院天数对患者住院费用影响有统计学意义。结论:标准服务包能够控制耐多药肺结核患者住院费用,使患者得到规范治疗并有助于提高治疗的质量,在耐多药肺结核诊治过程中有必要推广使用标准服务包。
Objective： To analyze the hospitalization expense of muhi-drug resistant tuberculosis patients treated in standard package and the influence factors of the hospitalization expense. Methods ： The basic information and hos- pitalization of 107 MDR-TB patients who treated in standard package were collected using structure questionnaires. The generalized linear model would be used to analyze the influence factors. Results： The hospitalization expense af- ter using the standard service package were 3 819.49 Yuan/time and 97.84 Yuan/day/time, account for 52.51% and 44.23% of the hospitalization expense before the intervention. The drug component declined from 59.93% to 26.59% ,at the same time, the examinations component increased from 8.44% to 25.62% . The register type, hos- pital beds and hospital days were the influence factors. Conclusions： The standard package could reduce the hospital- ization expense of MDR-TB patients. Patients could be treated according to recommended standards. Promoting the use of standard service package is necessary.
出处
《中国卫生政策研究》
CSCD
2013年第4期66-70,共5页
Chinese Journal of Health Policy
基金
中盖结核病项目医防合作子项目评估(2011CCDC)
关键词
耐多药肺结核
住院费用
标准化服务包
Multi-drug resistant tuberculosis
Hospitalization expense
Standard service package
