Epstein A M, Seage G, Weissman J S, Cleary P D, Fowler F J, Gatsonis C, Massagli M P, Stone V E, Coltin K, Craven D E
Department of Health Care Policy, Harvard Medical School, Boston, MA 02115, USA.
Inquiry. 1995 Summer;32(2):211-21.
We examined the cost of health care and out-of-pocket medical expenditures for 189 persons with AIDS at three sites in Massachusetts: an HMO; a public hospital immunodeficiency clinic; and a group practice at a major teaching hospital. The mean cost of care during a four-month reference period was $9,093 +/- $12,683 (mean +/- standard deviation) per patient. Thirty-six percent of the cost was due to hospital care and 40% was due to home health care. Mean out-of-pocket expenditures were $429 +/- $991 (mean +/- standard deviation). Studies that focus on the cost of hospital care may seriously underestimate the medical costs of AIDS.
我们调查了马萨诸塞州三个地点的189名艾滋病患者的医疗保健费用和自付医疗费用：一个健康维护组织（HMO）；一家公立医院免疫缺陷诊所；以及一家大型教学医院的团体医疗诊所。在四个月的参考期内，每位患者的平均护理费用为9,093美元±12,683美元（均值±标准差）。36%的费用用于住院治疗，40%用于家庭医疗保健。平均自付费用为429美元±991美元（均值±标准差）。专注于住院治疗费用的研究可能会严重低估艾滋病的医疗成本。
