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目的了解涂阳肺结核患者从开始就诊到结束治疗整个过程中发生的各种费用,为国家制定、完善结核病防治策略和措施提供科学依据。方法对湖南省长沙市10个县共100名涂阳肺结核患者进行问卷调查,对调查所得数据进行分析。结果(1)涂阳肺结核患者出现症状首次就诊医疗机构依次为综合医院、结防机构、乡镇医院和个人诊所,所占比例分别为43%、20%、16%和11%;(2)整个患病过程的费用约为3 678.8元,其中直接费用为2 724.8元,间接费用为954.0元,有近一半的费用是在确诊后治疗过程中花费的;(3)确诊肺结核后,多数患者及其家庭经济收入受到不同程度的降低;(4)就诊延误为1.5个月,诊断延误为1.6个月。结论加强结核病防治工作的经费投入,以减轻结核病患者的经济负担。
Objective To understand the various costs incurred in smear-positive pulmonary tuberculosis patients from the beginning of treatment to the end of treatment and provide a scientific basis for the formulation and improvement of strategies and measures for prevention and control of tuberculosis in the country. Methods A total of 100 smear-positive pulmonary tuberculosis patients from 10 counties in Changsha City of Hunan Province were surveyed. The data of the survey were analyzed. Results (1) First-aid medical facilities for smear-positive TB patients followed by general hospitals, antisubmarine institutions, township hospitals and individual clinics accounted for 43%, 20%, 16% and 11% respectively; (2) The cost of the illness was about 3 678.8 yuan, of which the direct cost was 2 724.8 yuan and the indirect cost was 954.0 yuan. Nearly half the cost was spent in the treatment after diagnosis. (3) After the diagnosis of tuberculosis, most patients and Their family income has been reduced to varying degrees; (4) delay of 1.5 months for treatment and 1.6 months for delay of diagnosis. Conclusion To increase funding for prevention and treatment of tuberculosis in order to reduce the financial burden on TB patients.