越南因脓毒症休克和登革热休克导致灾难性医疗支出。
Catastrophic health care expenditure due to septic shock and dengue shock in Vietnam.
机构信息
Department of Global Health and Infection, Brighton and Sussex Medical School, Falmer, Brighton, England.
Oxford University Clinical Research Unit, 764 Vo Van Kiet, Quan 5, Ho Chi Minh City, Vietnam.
出版信息
Trans R Soc Trop Med Hyg. 2019 Oct 11;113(10):649-651. doi: 10.1093/trstmh/trz064.
BACKGROUND
The cost of treatment for infectious shock in intensive care in Vietnam is unknown.
METHODS
We prospectively investigated hospital bills for adults treated for septic and dengue shock in Vietnam and calculated the proportion who faced catastrophic health care expenditures.
RESULTS
The median hospital bills were US$617 for septic shock (n=100) and US$57 for dengue shock (n=88). Catastrophic payments were incurred by 47% (47/100) and 13% (11/88) of patients with septic shock and dengue shock, respectively, and 56% (25/45) and 84% (5/6) fatal cases of septic shock and dengue shock respectively.
CONCLUSIONS
Further advocacy is required to moderate insurance co-payments for costly critical care interventions.
背景
越南重症监护室感染性休克治疗费用尚不清楚。
方法
我们前瞻性地调查了越南成人脓毒症和登革热休克治疗的住院费用，并计算了灾难性医疗支出的比例。
结果
脓毒症休克患者的住院费用中位数为 617 美元（n=100），登革热休克患者为 57 美元（n=88）。分别有 47%（47/100）和 13%（11/88）的脓毒症休克和登革热休克患者需要灾难性支付，分别有 56%（25/45）和 84%（5/6）的脓毒症休克和登革热休克死亡病例需要灾难性支付。
结论
需要进一步倡导适度降低昂贵的重症监护干预的保险共付额。
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