Hinrichsen S L, Sobral S, Reis L, Assunção R, Santiago J, Araújo C, Moraes E, Vieira S M, Vieira D S, Torres V, Gazin P
Service des maladies infectieuses et parasitaires (NEPAI), Hospital das Clínicas, Université fédérale du Pernambouc (UFPE), Recife, Brésil.
Sante. 1998 Jul-Aug;8(4):315-7.
The management of 50 AIDS patients by traditional hospital admission (25 cases) and outpatient clinics (25 cases) was studied between August and November 1995 in the Department of Infectious and Parasitic Diseases of the Federal University Hospital. The most costly items of expenditure were hospital services and consumable materials. Comparison of costs was complicated by differences in clinical status of the patients in the two groups. The choice of treatment was much more dependent on clinical status than on sociodemographic factors. Traditional hospital admission tended to be associated with the poorest patients. The rationalization of care based on cost-benefit analysis requires much future work.
1995年8月至11月期间,在联邦大学医院传染病与寄生虫病科对50例艾滋病患者进行了研究,其中25例采用传统住院治疗,25例采用门诊治疗。最昂贵的支出项目是医院服务和消耗品。两组患者临床状况的差异使成本比较变得复杂。治疗选择更多地取决于临床状况而非社会人口统计学因素。传统住院治疗往往与病情最差的患者相关。基于成本效益分析的医疗合理化需要未来做大量工作。