Okello D O
Makerere Medical School, Kampala, Uganda.
East Afr Med J. 1994 Dec;71(12):816-7.
A survey in 1991 of resource use patterns and factors affecting the cost of care for the acquired immunodeficiency syndrome (AIDS) in Mulago Hospital, Kampala, Uganda, revealed that drugs constitute 97% of the mean cost of care of affected individuals in the outpatient and 37% in hospitalized patients. The cost of drugs per treatment episode was Ug.Sh.5785.00 in the outpatient and Ug.Sh.8309.00 for inpatients. (The exchange rate for 1991 was US$ = Ug.Sh.910.00). Analysis of an attempt to provide essential drugs for the growing number of AIDS subjects shows that drugs alone could consume the entire health budget of the Ministry of Health in Uganda. There is therefore need to critically consider options to control the high cost for drugs in AIDS care.
1991年对乌干达坎帕拉穆拉戈医院获得性免疫缺陷综合征（艾滋病）护理资源使用模式及影响护理成本的因素进行的一项调查显示，在门诊患者中，药品占受影响个体平均护理成本的97%，在住院患者中占37%。每次治疗的药品成本门诊患者为乌干达先令5785.00，住院患者为乌干达先令8309.00。（1991年的汇率为1美元 = 910.00乌干达先令）。对试图为越来越多的艾滋病患者提供基本药物的分析表明，仅药品一项就可能耗尽乌干达卫生部的全部卫生预算。因此，有必要审慎考虑控制艾滋病护理中高昂药品成本的办法。
