Kaplowitz L G, Turshen I J, Myers P S, Staloch L A, Berry A J, Settle J T
Department of Medicine, Medical College of Virginia, Richmond 23298-0049.
Arch Intern Med. 1988 Aug;148(8):1793-7.
This study examines inpatient charges for 52 adult patients with the acquired immunodeficiency syndrome (AIDS) who had 102 admissions to the Medical College of Virginia Hospitals, Richmond, from October 1983 through December 1986. Complete charge data were available for 81 hospitalizations; the mean charge per hospitalization was +13,830 (SD, +13,610), the average length of stay was 14.8 days (SD, 13.1 days), and the mean per diem charge was +1058 (SD, +802). For patients who received all their AIDS-related medical care at the Medical College of Virginia Hospitals, total lifetime hospital charges averaged +27,264, the mean number of hospital stays was 2.29, and the average length of stay was 12 days. The average length of hospital stay, total charges per hospitalization, and average charge per day of hospitalization decreased over the study period. These findings suggest that inpatient costs of treating individual patients with AIDS are less than initially estimated and are decreasing due to the ability to more effectively manage these patients.
本研究调查了1983年10月至1986年12月期间，弗吉尼亚医学院医院收治的52例获得性免疫缺陷综合征（艾滋病）成年患者的住院费用。这些患者共住院102次。81次住院有完整的费用数据；每次住院平均费用为13,830美元（标准差为13,610美元），平均住院时间为14.8天（标准差为13.1天），日均费用为1058美元（标准差为802美元）。对于在弗吉尼亚医学院医院接受所有艾滋病相关医疗护理的患者，终身住院总费用平均为27,264美元，平均住院次数为2.29次，平均住院时间为12天。在研究期间，平均住院时间、每次住院总费用和日均住院费用均有所下降。这些发现表明，治疗艾滋病个体患者的住院费用低于最初估计，且由于能够更有效地管理这些患者，费用正在下降。
