Calleri G, Macor A, Belloro S, Caramello P, Dirindin N
Epidemiol Prev. 1989 Jun;11(39):47-51.
We carried out a retrospective research into the hospital care cost of 52 AIDS cases we observed in our department, in the period 1984-1988. These patients required an average of 3.2 hospital admissions per year, and 101.3 hospitalization days per year, spending more than one fourth of their life span after their diagnosis of AIDS, in a hospital. The total care cost was Lit. 1,133,614,000, mostly due to the hospital stay (65.0%), but the introduction of expensive drugs will increase the cost of treatment. The average daily cost per patient was Lit. 227,900. Prognosis and cost vary according to the kind of opportunistic infection or neoplasm. The prolongation of hospitalization in consequence of social and economic problems is very frequent. A better accessibility of diagnostic systems, and a development of day-hospital and social services could reduce AIDS patients costs.
我们对1984年至1988年期间在我科室观察的52例艾滋病患者的住院护理费用进行了回顾性研究。这些患者平均每年需要住院3.2次，每年住院天数为101.3天，在确诊艾滋病后，他们生命中超过四分之一的时间是在医院度过的。总护理费用为11.33614亿里拉，主要是由于住院费用（65.0%），但昂贵药物的引入将增加治疗成本。每位患者的平均每日费用为22.79万里拉。预后和费用因机会性感染或肿瘤的类型而异。由于社会和经济问题导致住院时间延长的情况非常频繁。改善诊断系统的可及性，发展日间医院和社会服务可以降低艾滋病患者的费用。
