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评估结核病对患者及其家庭的成本:在阿姆哈拉民族区域州伊尔马纳登萨区阿代特健康中心进行的横断面研究。

Assessment of cost of tuberculosis to patients and their families: a cross-sectional study at Addet Health Center, Yilmana Densa District, Amhara National Regional State.

作者信息

Yitayal Mezgebu, Aseffa Abraham, Andargie Gashaw, Wassie Liya, Abebe Markos

出版信息

Ethiop Med J. 2014 Jan;Suppl 1:23-30.

Abstract

INTRODUCTION

The rising number of tuberculosis cases is putting a considerable strain on health budgets, and threatens to drain resources essential to health and welfare services.

OBJECTIVES

The objective of this study was to estimate the cost of tuberculosis to outpatients and their families in a rural district health center, Addet Health Center, Yilmana Densa District, Amhara National Regional State in Ethiopia.

METHODS

Cross-sectional study was conducted to estimate the cost of tuberculosis to outpatients and their families. Data were collected on diagnosis, treatment, transportation, food and other expenses, and also income losses due to tuberculosis before and after the diagnosis of tuberculosis. Data were entered to Epi-Info and transferred to SPSS 13 for analysis. Mean, median, range and standard deviation were used to describe the data.

RESULT

The mean direct cost and indirect cost of tuberculosis to outpatients and their families were 1078.00 Birr and 2080.43 Birr, respectively, at the time of study. The mean total cost of tuberculosis to outpatients and their families was 3159.23 Birr.

CONCLUSION

Cost of tuberculosis to patients and their families, especially before the identification of the disease was found to be very high. Therefore, consequences of tuberculosis to patients and their families are particularly serious and potentially devastating.

摘要

引言

结核病病例数量的不断增加给卫生预算带来了巨大压力,并有可能耗尽健康和福利服务所需的资源。

目的

本研究的目的是估计埃塞俄比亚阿姆哈拉民族区域州伊尔马纳登萨区阿代特卫生中心这一农村地区卫生中心的结核病患者及其家庭所承担的费用。

方法

开展横断面研究以估计结核病患者及其家庭所承担的费用。收集了有关诊断、治疗、交通、食品及其他费用的数据,以及结核病诊断前后因结核病导致的收入损失数据。数据录入Epi-Info软件,并转移至SPSS 13进行分析。采用均值、中位数、范围和标准差来描述数据。

结果

在研究期间,结核病患者及其家庭的平均直接费用和间接费用分别为1078.00比尔和2080.43比尔。结核病患者及其家庭的平均总费用为3159.23比尔。

结论

结核病给患者及其家庭带来的费用,尤其是在疾病确诊之前的费用非常高。因此,结核病对患者及其家庭的影响尤为严重,可能具有毁灭性。

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