南京医科大学学报（社会科学版）Issue(5)：354-358,5.DOI:10.7655/NYDXBSS20140503
结核病患者疾病经济负担比较研究
Comparative study on the economic burden of patients with tuberculosis
摘要
Abstract
Objective:To analyze the economic burden of tuberculosis patients in areas with different economic levels, and to explore factors related to their economic burden. Methods: Two counties from Jiangsu Province, Zhangjiagang and Taixing, were selected as the study sites. Tuberculosis patients who had already completed the standard anti-tuberculosis treatment from 2010 to 2013 were recruited as the study subjects. Direct and indirect costs due to the disease were collected and compared between these two areas. Results: A total of 590 patients who had completed the survey were involved in the analysis, including 274 cases from Zhangjiagang and 316 cases from Taixing. The average total costs were 18 793.3 (median: 9 965.0) CNY for patients in Zhangjiagang and 6 598.3 (median: 2 263.0) CNY for patients in Taixing, respectively. The difference of costs between these two areas was significant (Z = 10.42, P < 0.001). Ⅰn Zhangjiagang, the per capita out-of-pocket direct cost was 7 448.0 CNY and the per capita indirect cost was 6 856.4 CNY. Ⅰn Taixing, the per capita out-of-pocket direct cost was 3 024.0 CNY and the per capita indirect cost was 2 615.2 CNY. Factors related to the out-of-pocket direct costs were migrant population, diagnosis delay, hospitalization, taking liver protective drugs and using the second-line drugs in Zhangjiagang, etc, and adverse drug reactions, abnormal liver function, diagnosis delay, hospitalization, taking liver protective drugs and using the second-line drugs, etc, in Taixing. Conclusion: Although the government provides free-service policy for tuberculosis, patients still need to bear a high economic burden, especially in economically developed areas.关键词
结核/疾病负担/直接费用/间接费用/危险因素Key words
tuberculosis/disease burden/direct cost/indirect cost/risk factor分类
医药卫生引用本文复制引用
仇桑桑,陆慧,张思慜,姜伟,黄莉芳,王建明..结核病患者疾病经济负担比较研究[J].南京医科大学学报（社会科学版）,2014,(5):354-358,5.基金项目
国家自然科学基金 （）
江苏省科技支撑计划 （）
江苏高校哲学社会科学研究基金 （）
