使用标准化服务包对耐多药肺结核患者住院费用的影响

吕承菲; 孙强; 李仁忠; 阮云洲; 赵津; 陈诚; 苏伟

引用本文：吕承菲,孙强,李仁忠,等.使用标准化服务包对耐多药肺结核患者住院费用的影响[J].中国卫生政策研究,2013,6(4):66-70

使用标准化服务包对耐多药肺结核患者住院费用的影响

投稿时间：2013-02-02 修订日期：2013-04-08 PDF全文浏览 HTML全文浏览

1.山东大学卫生管理与政策研究中心卫生部卫生经济与政策研究重点实验室山东济南 250012;2.中国疾病预防控制中心结核病预防控制中心北京102206

摘要:目的：分析使用标准化服务包治疗对耐多药肺结核患者住院费用的影响。方法：通过结构式调查表收集项目干预期间107例耐多药肺结核患者的基本情况和住院信息,采用广义线性模型进行多因素分析。结果：使用标准服务包治疗的耐多药肺结核患者次均住院费用为3 81949元，日均住院费用为9784元，分别为未使用标准服务包治疗患者的5251%和4423%；患者住院药品费用所占比例由5993%下降到2659%，但辅助检查费由844%上升到2562%。干预后患者的登记分类、定点医院床位数和住院天数对患者住院费用影响有统计学意义。结论：标准服务包能够控制耐多药肺结核患者住院费用，使患者得到规范治疗并有助于提高治疗的质量，在耐多药肺结核诊治过程中有必要推广使用标准服务包。

关键词:耐多药肺结核住院费用标准化服务包

基金项目:中盖结核病项目医防合作子项目评估（2011CCDC）

Analysis on the hospitalization expense of multi drug resistant tuberculosis patients treated in standard package

LV Cheng-fei¹, SUN Qiang¹, LI Ren-zhong², RUAN Yun-zhou², ZHAO Jin², CHEN Cheng², SU Wei²

1.Center for Health Management and Policy, The Key Lab of Health Economics and Policy, Ministry of Health, Shandong University, Shandong Jinan, 250012, China;2.National Center for Tuberculosis Control and Prevention，China Center for Disease Control and Prevention，Beijing 100050,China

Abstract:Objective: To analyze the hospitalization expense of multi drug resistant tuberculosis patients treated in standard package and the influence factors of the hospitalization expense. Methods: The basic information and hospitalization of 107 MDR TB patients who treated in standard package were collected using structure questionnaires. The generalized linear model would be used to analyze the influence factors. Results: The hospitalization expense after using the standard service package were 3 819.49 Yuan/time and 97.84 Yuan/day/time, account for 52.51% and 44.23% of the hospitalization expense before the intervention. The drug component declined from 59.93% to 26.59%，at the same time, the examinations component increased from 8.44% to 25.62% . The register type, hospital beds and hospital days were the influence factors. Conclusions: The standard package could reduce the hospitalization expense of MDR TB patients. Patients could be treated according to recommended standards. Promoting the use of standard service package is necessary.

Key words:Multi drug resistant tuberculosis Hospitalization expense Standard service package

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