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[1986年至1987年巴伦西亚临床医院结核病的流行病学情况及经济成本]

[Epidemiologic aspects and financial cost of tuberculosis at the Clinical Hospital of Valencia from 1986 to 1987].

作者信息

Morales M M, Llopis A, Sáiz E

出版信息

Enferm Infecc Microbiol Clin. 1989 Jan;7(1):29-35.

PMID:2490639
Abstract

Tuberculosis is an important sanitary and social as well as economical problem. This descriptive and retrospective study analyzes the features of the TBC patients in the Hospital Clínico of Valencia during 1986 and 1987 through data proceeding from clinical records and quantifies the social and economical cost coming to conclusions about the hospital's role regarding this disease. Admissions become more frequent in males and patients with current disease (class 3 of American Thoracic Society) from 50 years of age on, location is pulmonary in 95% of the cases, and 68% of the patients show risk factors. From the analysis of the economical data, we inferred the small importance of income and total cost due to TBC in contrast to the hospital whole although its individualized analysis shows an average cost 1.76 times bigger in a TBC patient as well as the fact that 85% tallies to hospital sustenance expenses which brings us to consider the importance of disease prevention.

摘要

结核病是一个重要的卫生、社会以及经济问题。这项描述性和回顾性研究通过临床记录中的数据,分析了1986年至1987年期间瓦伦西亚临床医院结核病患者的特征,并对社会和经济成本进行了量化,从而得出关于医院在这种疾病方面作用的结论。50岁及以上男性和现患疾病患者(美国胸科学会3级)的入院频率更高,95%的病例病变位于肺部,68%的患者有危险因素。通过对经济数据的分析,我们推断出结核病导致的收入和总成本相对于医院整体而言重要性较小,尽管对其进行个体化分析显示,结核病患者的平均成本高出1.76倍,而且85%的费用用于医院维持开支,这使我们认识到疾病预防的重要性。

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