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山东省肺结核患者疾病经济负担及影响因素分析

Analysis on Economic Burdon of Disease and its Influencing Factors of Pulmonary Tuberculosis patient in Shandong Province

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【作者】 李秋燕曹秀玲赵广通张乐徐凌忠

【Author】 LI Qiu-yan,CAO Xiu-ling,ZHAO Guang-tong,et al.Institute of Social Medicine and Health management,Shandong University,Jinan,Shandong,250012,China

【机构】 山东大学公共卫生学院社会医学与卫生事业管理研究所山东大学齐鲁医院吉林大学公共卫生学院放射生物教研室

【摘要】 目的:了解山东省肺结核患者的疾病经济负担,并探讨其影响因素。方法:采用分层随机整群抽样方法选取样本,利用自制的调查问卷进行访谈式调查,并利用SAS9.1软件进行单因素和多因素分析。结果:肺结核患者人均疾病经济负担为95%CI为(5733.02±330.23)元;确诊延误时间、确诊单位及住院与否对结核病患者疾病经济负担的影响有统计学意义。结论:肺结核患者的疾病经济负担较重,应进一步加大政府投入;同时严格控制医疗机构对肺结核患者的纳入标准,规范转诊制度;提高基层医疗机构的疾病诊断能力;将肺结核纳入医疗保障中,以降低肺结核患者的疾病经济负担。

【Abstract】 Objective:To know the economic burden of Pulmonary Tuberculosis patient in Shandong province,and explore its influencing factors.Methods:The samples were randomly selected using stratified sampling method,surveyed by self-made questionnaire,and analyzed by SAS9.1 with single factor and multi-factor analysis.Results:tuberculosis patients per capita economic burden was heavy(95% CI 5733.02 ± 330.23 yuan) ;and delaytime for confirmed diagnosis of tuberculosis,hospital or not,diagnosis units or economic burden have a statistically significant impact on the treatment of TB patients.Conclusion:Tuberculosis patients’ disease burden is still heavier,the government should further increase investment,meanwhile inclusion criteria of tuberculosis patients should be control strictly and the referral system should be standardized with medical institutions;Furthermore,the capacity of TB diagnosis should be improved for basic medical institutions,and the tuberculosis should also be put into the health insurance so as to reduce the financial burden of the disease.

【基金】 全球基金项目实施性研究课题(TB07-034)
  • 【文献出处】 中国卫生经济 ,Chinese Health Economics , 编辑部邮箱 ,2010年04期
  • 【分类号】R197.2;R521
  • 【被引频次】45
  • 【下载频次】724
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