Xu Peng, Shi Yun, Zeng Ji, Liu Kang-mai, Lü Fan
National Center for STD/AIDS Control and Prevention, China Center for Disease Control and Prevention, Beijing 100050, China.
Zhonghua Yu Fang Yi Xue Za Zhi. 2011 Nov;45(11):990-4.
To analyze the inpatient cost of AIDS related opportunistic infection in a high HIV epidemic area of China.
Information was collected and analyzed from 158 inpatients with AIDS related opportunistic infection, including demographic characteristics of patients, types of opportunistic infection and treatment cost (median) from 2008 to 2010 in a high HIV epidemic area.
The inpatient cost per visit for AIDS related opportunistic infection was 2935.7 yuan. The fee per visit for examination, laboratory test, medicine, diagnosis and treatment, nursing, bed was 132.5, 269.0, 1485.5, 367.3, 302.5 and 264.0 yuan, respectively. The inpatient cost per visit for AIDS related opportunistic infection was 4383.1 yuan for male and 3418.6 yuan for female inpatient (U = -1.279, P = 0.201). The cost per visit for AIDS related opportunistic infection was 4703.1 yuan for Han nationality and 3475.9 yuan for minority patient (U = -1.025, P = 0.305). The inpatient cost per visit for AIDS related opportunistic infection was respectively 3429.3, 5022.2, 6705.5 and 2396.7 yuan for farmers, individual businessmen, employees of enterprise and public institution and jobless (H = 28.633, P = 0.000). The cost per visit was lowest for illiteracy patients (2590.2 yuan), 3626.5 yuan for primary school, 4214.3 yuan for junior high school and 6865.8 yuan for high school and higher education (H = 10.828, P = 0.013). The cost per visit for AIDS related opportunistic infection was respectively 2873.6, 4534.3, 3077.8 and 3208.1 yuan for under the age of 29, 30-39 years old, 40-49 years old and beyond the age of 50 (H = 1.515, P = 0.679). The AIDS related opportunistic infection cost per visit for inpatients infected through sex (4621.3 yuan) was higher than that of intravenous drug users (3208.6 yuan, U = -2.588, P = 0.010). Among various types of opportunistic infections, the cost was highest for neurological diseases (5819.7 yuan), 4300.8, 2806.8, and 2083.9 yuan for respiratory diseases, digestive system diseases and skin and mucous membrane diseases, respectively (H = 15.142, P = 0.004).
The study shows difference of inpatient cost per visit between subgroups, the cost of public institution was higher than that of other professions, the cost of illiteracy patients was lower than other education level, the cost of inpatients infected through sex was higher than that of intravenous drug users, the cost of neurological diseases was higher than that of other types of opportunistic infections.
分析中国艾滋病高流行区艾滋病相关机会性感染患者的住院费用。
收集并分析了158例艾滋病相关机会性感染住院患者的信息，包括患者的人口学特征、机会性感染类型及2008年至2010年在艾滋病高流行区的治疗费用（中位数）。
艾滋病相关机会性感染患者每次住院费用为2935.7元。每次住院的检查、检验、药品、诊疗、护理、床位费用分别为132.5元、269.0元、1485.5元、367.3元、302.5元和264.0元。男性艾滋病相关机会性感染患者每次住院费用为4383.1元，女性患者为3418.6元（U=-1.279，P=0.201）。汉族患者艾滋病相关机会性感染每次住院费用为4703.1元，少数民族患者为3475.9元（U=-1.025，P=0.305）。农民、个体商户、企事业单位职工和无业人员艾滋病相关机会性感染患者每次住院费用分别为3429.3元、5022.2元、6705.5元和2396.7元（H=28.633，P=0.000）。文盲患者每次住院费用最低（2590.2元），小学文化程度患者为3626.5元，初中文化程度患者为4214.3元，高中及以上文化程度患者为6865.8元（H=10.828，P=0.013）。29岁以下、30-39岁、40-49岁和50岁及以上艾滋病相关机会性感染患者每次住院费用分别为2873.6元、4534.3元、3077.8元和3208.1元（H=1.515，P= 0.679）。经性传播感染艾滋病患者的艾滋病相关机会性感染每次住院费用（4621.3元）高于静脉吸毒感染患者（3208.6元，U=-2.588，P=0.010）。在各类机会性感染中，神经系统疾病费用最高（5819.7元），呼吸系统疾病、消化系统疾病和皮肤黏膜疾病费用分别为4300.8元、2806.8元和2083.9元（H=15.142，P=0.004）。
研究显示各亚组间每次住院费用存在差异，事业单位患者费用高于其他职业，文盲患者费用低于其他文化程度，经性传播感染患者费用高于静脉吸毒感染患者，神经系统疾病费用高于其他类型的机会性感染。
