Toro L, Jara C, Adauy A, Henríquez A, Trujillo F, Child R, Ortiz E
Comisión Nacional del SIDA, Ministerio de Salud, Santiago, Chile.
Rev Med Chil. 1998 Feb;126(2):218-24.
Medical care of HIV infected and AIDS patients may represent an important economical burden for public hospitals.
To assess direct and indirect costs of medical care for HIV infected and AIDS patients in public hospitals of the Metropolitan Region of Chile.
Between August 1994 and February 1995, information about outpatient and hospitalized medical care of 417 HIV infected patients was gathered (representing approximately 16% of the seropositive population). Patients were divided as having or not having AIDS. The latter were those included in groups I, II, III and category C2 of group C (group 4). The cost of medications, procedures and examinations of these patients was calculated.
Thirty six percent of studied patients had AIDS. The annual cost of care for AIDS patients was US$3760 compared to US$1450 for HIV infected patients without AIDS. Medications represented 75% and 65% of total costs in patients with and without AIDS respectively. The figures for examinations and procedures were 17% and 22% and for medical attentions were 7.5% and 8.8% respectively.
Medical care of patients with AIDS has higher costs than that of HIV infected patients without AIDS. Thus, the retardation of the progression of the disease would have social, humanitarian and economical benefits. Our costs are similar to those of other countries with a similar level of economic development.
对艾滋病毒感染者和艾滋病患者的医疗护理可能给公立医院带来重大经济负担。
评估智利首都大区公立医院中艾滋病毒感染者和艾滋病患者的医疗直接和间接费用。
在1994年8月至1995年2月期间，收集了417名艾滋病毒感染者的门诊和住院医疗信息（约占血清阳性人群的16%）。患者被分为患有或未患有艾滋病。后者包括C组（第4组）的I、II、III组和C2类。计算了这些患者的药物、检查和治疗费用。
36%的研究患者患有艾滋病。艾滋病患者的年度护理费用为3760美元，而未患艾滋病的艾滋病毒感染者为1450美元。药物分别占艾滋病患者和未患艾滋病患者总费用的75%和65%。检查和治疗费用分别为17%和22%，医疗护理费用分别为7.5%和8.8%。
艾滋病患者的医疗护理费用高于未患艾滋病的艾滋病毒感染者。因此，延缓疾病进展将具有社会、人道主义和经济益处。我们的费用与经济发展水平相似的其他国家的费用相近。
