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支气管哮喘社区管理的经济和疗效分析

An analysis on economic impact and curative effect of management for broncho-asthma in community

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【作者】 邱仪华; 施鸿瑞; 凌国兴;

【Author】 QIU Yi-hua, SHI Hong-rui, LING Guo-xing (Jinyang Hospital, Pudong, Shanghai 201206, China)

【机构】 上海市浦东新区金杨地段医院!上海201206;

【摘要】 [目的 ] 观察支气管哮喘患者经社区管理后医疗费用和病情严重度变化情况。 [方法 ] 推行《全球哮喘防治战略创议》实行哮喘病社区管理并进行回顾性分析。患者分为正规防治组和非正规防治组 ,比较随访一年前后医疗费用和其他经济损失及哮喘临床症状变化情况。 [结果 ] 哮喘病社区管理后患者医疗费用明显下降 ,正规防治组的医疗费用显著低于非正规防治组 (P <0 .0 1) ,症状明显好转率显著高于非正规防治组 (P <0 .0 1)。 [结论 ] 支气管哮喘患者经管理和规范防治 ,可减少医疗费用支出 ,改善临床症状 ,提高患者生活质量

【Abstract】 Objective] To investigate any change in economic impact and curative effect on patients with broncho-asthma after its management was turned to a community. [Methods] By implement “Global Initiative For Asthma", the management of asthma was turned to a community. The patients were classified into managed group and controlled group, the cost of therapy, indirect cost and the change of the symptoms were compared in the 2 groups. [Results] The cost of therapy decreased significantly after community management. The cost of the managed group was much lower than that of the controlled group (P<0.01). The symptoms were much improved in the managed group (P<0.01). [Conclusion] Proper management of asthma patients reduces the cost of therapy and clinical symptoms and improve their quality of life.

【关键词】 哮喘; 管理; 经济; 疗效;
【Key words】 Asthma; Management; Cost; Curative effect;
【基金】 上海市医学领先专业初级卫生特色项目基金资助 !(编号 :991 0 2 7)
  • 【文献出处】 上海预防医学杂志 ,Shanghai Journal of Preventive Medicine , 编辑部邮箱 ,2001年05期
  • 【分类号】R562.25
  • 【被引频次】10
  • 【下载频次】57
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