越南全国结核病患者费用调查：研究结果促使政策与实践发生改变
National tuberculosis patients cost survey: research findings lead to change in policy and practice, Viet Nam.
作者信息
Hoa N B, Nhung N V
机构信息
National Tuberculosis Programme Viet Nam, Hanoi, Viet Nam.
Centre for Operational Research, International Union Against Tuberculosis and Lung Disease, Paris, France.
出版信息
Public Health Action. 2019 Jun 21;9(2):50-52. doi: 10.5588/pha.18.0082.
In 2016, the Viet Nam National Tuberculosis Programme (NTP) conducted the first national TB patients cost survey to identify the main cost drivers to help guide cost mitigation policies and reduce financial barriers to the treatment of TB patients. The survey findings were widely disseminated and the NTP defined a roadmap. The major components of the roadmap included 1) advocating for patients to be covered by social health insurance; 2) creating a charity fund for TB patients; 3) strengthening the collaboration between the Ministry of Health and Ministry of Labour and Social Affairs; and 4) advocating for donor support. The first national TB patients cost survey has shown that a high proportion of TB patients incurred costs that were classed as 'catastrophic'. The survey findings led to policy changes and new practices in Viet Nam.
2016年，越南国家结核病规划开展了首次全国结核病患者费用调查，以确定主要成本驱动因素，从而帮助指导成本缓解政策并减少结核病患者治疗的经济障碍。调查结果得到广泛传播，国家结核病规划制定了路线图。该路线图的主要内容包括：1）倡导患者纳入社会医疗保险；2）为结核病患者设立慈善基金；3）加强卫生部与劳动和社会事务部之间的合作；4）倡导捐助方提供支持。首次全国结核病患者费用调查表明，很大一部分结核病患者产生了被归类为“灾难性”的费用。调查结果促使越南出台了政策变革和新做法。
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