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[肺结核后综合征的经济和社会影响]

[Economic and social implications of post-tuberculosis syndromes].

作者信息

Didilescu C

出版信息

Rev Ig Bacteriol Virusol Parazitol Epidemiol Pneumoftiziol Pneumoftiziol. 1982 Jan-Mar;31(1):57-62.

PMID:6289418
Abstract

The fact that 30.5% of patients with post-tuberculous syndromes belonging to a category of active population have been pensioned off for health reasons is a demonstration that these syndromes may play a significant role in determining the incapacity for work. The practical conclusion is that the prophylaxis of post-tuberculous syndromes--early diagnosis, chemotherapy with new drugs, and kinesitherapy--in all cases of tuberculosis at their first treatment may determine a deceased incidence of these syndromes. The reduction of the percentage of post-tuberculous syndromes recorded for 100 cases of tuberculosis treated with modern therapeutic regimens will result in a collective benefit consisting in a lower pressure on the general and specialized sanitary network with regard to the number of procedures provided. The health network potentialities could this be used for the solving of other problems of public health. At the same time by reducing the percentage of post-tuberculous syndromes, important funds can be spared, which are used for treatment, sick-leave pay, and invalidity pensions. The continuous improvement of the organizational frame of health protection in our country should consider also the official regulatory of the medico-social status of patients with post-tuberculous syndromes.

摘要

患有结核后综合征的在职人口中有30.5%因健康原因退休,这一事实表明这些综合征可能在判定工作能力丧失方面发挥重要作用。实际结论是,在所有初治结核病病例中,对结核后综合征进行预防——早期诊断、使用新药化疗和运动疗法——可能会降低这些综合征的发病率。用现代治疗方案治疗的100例结核病患者中,结核后综合征记录百分比的降低将带来集体效益,即就所提供的诊疗程序数量而言,减轻对普通和专业卫生网络的压力。这样,卫生网络的潜力就可用于解决其他公共卫生问题。同时,通过降低结核后综合征的百分比,可以节省用于治疗、病假工资和残疾抚恤金的大量资金。我国卫生防护组织框架的持续完善还应考虑对结核后综合征患者医疗社会状况的官方规范。

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