Choukroun G, Danic D L, Veninger G, Emam K, Rasle A, Picard C, Sobel A
Unité d'Immunopathologie Clinique, Hôpital Henri Mondor, Créteil.
Ann Med Interne (Paris). 1988;139(7):505-7.
A retrospective analysis of the cost of hospital care related to AIDS was undertaken at Henri Mondor hospital, Créteil, to prepare the hospital budget for 1988. Eight representative cases of the type of medical care were thoroughly evaluated with inventories of all direct expenses (medico-technical, pharmaceutical, accommodation) incurred between the first hospital admission of each patient and June 1987 or the patient's death. The study comprises 17 hospital stays of over 24 hours or 439 days of diagnosis and treatment. The total daily direct expenditure varied from 979 to 1119 FF/day (depending on whether the drug Zidovudine was used), that is to say an increase of 7 to 23% compared with the previous average daily cost in the same hospital unit (909 FF/day). The density of personnel is lower than recommended for units receiving patients with advanced AIDS. This lack of personnel is responsible for an underevaluation of total cost of about 10%. Should the number of admissions with this disease increase, the hospital personnel budget would suffer the most, even if hospital admission for AIDS continues to substitute for other decreased or abandoned activities and do not therefore appear in total overexpenditure.
为编制1988年的医院预算，法国克雷泰伊市亨利·蒙多医院对与艾滋病相关的医院护理费用进行了回顾性分析。通过详细列出每位患者首次入院至1987年6月或患者死亡期间产生的所有直接费用（医疗技术、药品、住宿），对八例具有代表性的医疗护理类型病例进行了全面评估。该研究涵盖了17次超过24小时的住院治疗，共计439天的诊断和治疗时间。每日直接总支出在979至1119法郎/天之间（取决于是否使用齐多夫定药物），也就是说，与同一医院科室之前的平均每日费用（909法郎/天）相比，增加了7%至23%。人员配置密度低于接收晚期艾滋病患者科室的推荐标准。人员短缺导致总成本被低估了约10%。如果这种疾病的入院人数增加，医院的人员预算将受到最大影响，即便艾滋病患者入院继续替代了其他减少或放弃的活动，因而未出现在总超支中。
