艾滋病患者患机会性感染的住院费用

目的 分析AIDS患者因患机会性感染而住院的治疗费用情况.方法 收集2008-2010年某AIDS高流行地区因机会性感染而住院的158例AIDS患者资料,包括患者的基本情况、机会性感染类型、治疗机会性感染等的各项费用;比较分析不同特征患者的各项治疗费用(中位数)的差异.结果 AIDS机会性感染者的住院总费用为2935.7元,其中检查费、化验费、药品费、诊疗费、护理费、床位费分别为132.5、269.0、1485.5、367.3、302.5、264.0元;男性和女性患者的住院总费用分别为4383.1、3418.6元(U=-1.279,P=0.201);汉族和其他民族患者的住院总费用分别为4703.1、3475.9元(U=-1.025,P=0.305);务农、个体经商者、企事业单位、无业患者的住院总费用分别为3429.3、5022.2、6705.5、2396.7元(H=28.633,P=0.000);文盲患者的住院总费用最低,为2590.2元,小学、初中、高中及以上分别为3626.5、4214.3、6865.8元(H=10.828,P=0.013);29岁及以下、30 ～39岁、40～49岁、50岁及以上患者的住院总费用分别为2873.6、4534.3、3077.8、3208.1元(H=1.515,P=0.679);经性途径感染的患者住院总费用(4621.3元)高于经静脉注射吸毒感染患者(3208.6元)(U=-2.588,P=0.010);神经系统疾病患者住院费用最高(5819.7元),呼吸系统疾病、消化系统疾病、皮肤和黏膜疾病分别为4300.8、2806.8、2083.9元(H=15.142,P=0.004).结论 在住院总费用方面,文盲AIDS患者低于其他文化水平的患者,经性途径感染的患者高于经静脉注射吸毒感染患者,神经系统疾病患者高于其他类型疾病患者.

Analysis of inpatient cost of AIDS related opportunistic infection in a high HIV epidemic area

Objective To analyze the inpatient cost of AIDS related opportunistic infection in a high HIV epidemic area of China.Methods Information was collected and analyzed from 158 inpatients with AIDS related opportunistic infection,including demographic characteristics of patients,types of opportunistic infection and treatment cost (median) from 2008 to 2010 in a high HIV epidemic area.Results The inpatient cost per visit for AIDS related opportunistic infection was 2935.7 yuan.The fee per visit for examination,laboratory test,medicine,diagnosis and treatment,nursing,bed was 132.5,269.0,1485.5,367.3,302.5 and 264.0 yuan,respectively.The inpatient cost per visit for AIDS related opportunistic infection was 4383.1 yuan for male and 3418.6 yuan for female inpatient ( U =- 1.279,P =0.201 ).The cost per visit for AIDS related opportunistic infection was 4703.1 yuan for Han nationality and 3475.9 yuan for minority patient ( U =- 1.025,P =0.305 ).The inpatient cost per visit for AIDS related opportunistic infection was respectively 3429.3,5022.2,6705.5 and 2396.7 yuan for farmers,individual businessmen,employees of enterprise and public institution and jobless ( H =28.633,P =0.000).The cost per visit was lowest for illiteracy patients (2590.2 yuan),3626.5 yuan for primary school,4214.3 yuan for junior high school and 6865.8 yuan for high school and higher education ( H =10.828,P =0.013 ).The cost per visit for AIDS related opportunistic infection was respectively 2873.6,4534.3,3077.8 and 3208.1 yuan for under the age of 29,30- 39 years old,40- 49 years old and beyond the age of 50 (H =1.515,P =0.679).The AIDS related opportunistic infection cost per visit for inpatients infected through sex (4621.3yuan) was higher than that of intravenous drug users ( 3208.6 yuan,U =- 2.588,P =0.010).Among various types of opportunistic infections,the cost was highest for neurological diseases (5819.7yuan),4300.8,2806.8,and 2083.9 yuan for respiratory diseases,digestive system diseases and skin and mucous membrane diseases,respectively (H=15.142,P=0.004).Conclusion The study shows difference of inpatient cost per visit between subgroups,the cost of public institution was higher than that of other professions,the cost of illiteracy patients was lower than other education level,the cost of inpatients infected through sex was higher than that of intravenous drug users,the cost of neurological diseases was higher than that of other types of opportunistic infections.