[人类免疫缺陷病毒感染患者的住院费用]
[The hospital costs for patients with human immunodeficiency virus infection].
作者信息
Rabanaque Hernández M J, Tomás Aznar C, Gómez López L I, Aibar Remón C, Pérez de Agreda J P, Febrel Bordeje I
机构信息
Servicio de Medicina Preventiva, Hospital Clínico Universitario, Zaragoza.
出版信息
Med Clin (Barc). 1992 Jan 25;98(3):85-8.
BACKGROUND
The economic issues derived from the care of HIV patients are increasingly more important and they affect to different levels of sanitary assistance. In Spain these costs are not always evaluated and there is no information about the efficiency of inverted resources.
METHODS
The cost of mean hospital stay due to HIV (+) patients has been estimated and compared with two infectious diseases: respiratory tuberculosis (TBC) and viral hepatitis (VH), and we have analyzed their evolution in the period studied. The study was conducted between July 1st 1987 and December 31st 1989 at the Infectious Unit for the three mentioned diseases.
RESULTS
The 227 included patients originated 292 hospitalizations. The total cost derived from hospital stays was 169,466,323 ptas. The mean cost for HIV(+) patients was 576,184 ptas, for TBC patients 1,111,115 ptas, and for VH 443,219 ptas. The number of HIV(+) stays has increased each year.
CONCLUSIONS
The observed results suggest that it could be interesting to think about new systems of inpatient care.
背景
因护理艾滋病患者产生的经济问题日益重要，且影响到不同层面的卫生援助。在西班牙，这些费用并非总能得到评估，也没有关于资源投入效率的信息。
方法
估算了艾滋病病毒阳性（HIV(+)）患者的平均住院费用，并与两种传染病：呼吸道结核病（TBC）和病毒性肝炎（VH）进行比较，且分析了它们在研究期间的演变情况。该研究于1987年7月1日至1989年12月31日在上述三种疾病的传染病科进行。
结果
纳入的227名患者产生了292次住院治疗。住院产生的总费用为169,466,323比塞塔。HIV(+)患者的平均费用为576,184比塞塔，结核病患者为1,111,115比塞塔，病毒性肝炎患者为443,219比塞塔。HIV(+)患者的住院次数逐年增加。
结论
观察结果表明，考虑新的住院护理系统可能会很有意思。
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