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成都市社区精神分裂症免费治疗对医疗费用的影响
引用本文:黎举红,毛文君,杨德华,段明军.成都市社区精神分裂症免费治疗对医疗费用的影响[J].四川医学,2009,30(9):1370-1372.
作者姓名:黎举红  毛文君  杨德华  段明军
作者单位:成都市第四人民医院,四川,成都,610036
基金项目:成都市卫生局2007年青年基金 
摘    要:目的探讨社区精神分裂症免费药物治疗对患者医疗费用的影响。方法纳入成都市金牛区贫困精神分裂症患者140例,随机分为两组,其中70例免费给药。随访1年,比较随访前后1年内患者及家庭的直接费用与间接费用。结果免费治疗组与对照组随访后在患者缺勤天数、患者间接损失、间接费用差异有统计学意义(P〈0.01);免费治疗组自身前后比较直接损失、家属缺勤天数、家属间接损失、PANSS有明显下降(P〈0.01)。结论社区精神分裂症免费服药能有效控制病情,间接减少医疗费用支出,减轻家属负担。

关 键 词:精神分裂症  免费药物治疗  经济

A observation of medical expenses of the free treatment for schizophrenics from community in Chengdu city
Institution:LI Ju-hong,MAO Wen-jun,YANG De-hua,et al.(The Fourth People′s Hospital of Chengdu,Chengdu,Sichuan 610036,China)
Abstract:Objective To investigate the influence of free drugs treatment on the economic factors of schizophrenics.Methods The 140 subjects from poor family were divided into the free treated group and the control group at random.The patient's family economic burden were compared before and after 1 year.Results At the following point,there was significant difference in the absent days,the indirect closing of patients and the indirect cost between two groups(P0.01) and there were decreasing in the scores of the total PANSS.The direct closing,the absent days and the indirect losing of the family for the free treated qroup.Conclusion The free drugs treatment for poor schizophrenics can control the illness condition and reduce their family economic burden.
Keywords:schizophrenics  free drugs treatment  economic
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