Tapia-Conyer R, Sepúlveda J, de la Rosa-Montaño B M, Revuelta-Herrera A
Consejo Nacional para la prevención del SIDA, México.
Salud Publica Mex. 1992 Jul-Aug;34(4):371-7.
This report presents the results of a study of direct treatment costs of AIDS in Mexico, carried out in five public hospitals, four social security hospitals and one private hospital. The study included: a retrospective phase, a prospective phase and a longitudinal followup. The study found that the average AIDS patient has a total of two hospital admissions per year, with an average stay of 20 days per admission, and an annual cost of almost $4,043 US. The hospital admission costs per patient ranged between $1,430 US and $7,350 US with an average cost of $2,565 US. The outpatient's treatment costs per year were of $300 US. The patient's expenses at their homes were $1,100 US. We conclude that treatment costs for AIDS patients, excluding use of AZT, are higher than the treatment costs of comparable diseases. The greatest cost is that for inpatient care; thus, we recommend improving outpatient care services in order to provide more comprehensive care to patients and their families.
本报告展示了一项针对墨西哥艾滋病直接治疗成本的研究结果，该研究在五家公立医院、四家社会保障医院和一家私立医院开展。研究包括：回顾性阶段、前瞻性阶段和纵向随访。研究发现，艾滋病患者平均每年住院两次，每次住院平均时长为20天，每年成本近4043美元。每位患者的住院成本在1430美元至7350美元之间，平均成本为2565美元。门诊患者每年的治疗费用为300美元。患者在家中的费用为1100美元。我们得出结论，艾滋病患者的治疗成本（不包括使用齐多夫定）高于同类疾病的治疗成本。最大的成本在于住院护理；因此，我们建议改善门诊护理服务，以便为患者及其家庭提供更全面的护理。
