乌鲁木齐市88例HIV感染者卫生服务需要、利用和费用的调查
发布时间：2018-08-07 21:04
【摘要】： 目的:了解乌鲁木齐市HIV感染者的卫生服务需要、利用和费用情况,为乌鲁木齐市卫生部门制定关于HIV感染者的政策和措施提供依据。方法:采用个人访谈法对乌鲁木齐市88例HIV感染者进行调查,收集相关资料。结果:88例HIV感染者中男性56例,女性32例;汉族9例,维吾尔族77例,回族2例;平均年龄为32岁。两周患病率为81.8%,两周患病天数为6.10天,两周卧床率为58.0%,两周卧床天数为2.67天,慢性病患病率为47.7%。两周就诊率88.6%,两周患者未就诊率为41.5%,58.1%因经济困难没有治疗。住院率为30.7%,人均住院天数为21.2天,应住院而未住院比例为35.7%,74.0%因经济困难未住院。符合国家免费抗病毒治疗的感染者有39例,23例未进行抗病毒治疗,占58.8%,57.1%因经济困难。21例接受国家提供的免费抗病毒治疗。能90%～100%坚持服药的占71.4%,50%～90%间断服药的占23.8%,50%间断服药的占4.8%,间断服药的主要原因为机会性感染和不良反应。次均门诊费用为106元(中位数为67元)。两周自我医疗和购药的费用为75元(中位数为40元)。次均住院费用为6475元(中位数为3171元)。过去一年的平均医疗费用为3536元(中位数为1000元)。结论:乌鲁木齐市HIV感染者的卫生服务需要和利用量大,卫生部门应针对HIV感染者卫生服务的特点及早制定相应的对策,大力宣传和落实“四免一关怀”政策,建立医疗救助机制满足HIV感染者的卫生服务利用。
[Abstract]:Objective: to understand the health service needs, utilization and cost of HIV infected people in Urumqi, and to provide basis for the health department of Urumqi to formulate policies and measures on HIV infection. Methods: 88 cases of HIV infection in Urumqi were investigated by personal interview. Results among 88 cases of HIV infection, 56 were male, 32 were female, 9 were Han, 77 were Uygur and 2 were Hui. The average age was 32 years old. The rate of two weeks bed rest was 58.0 days, two weeks bed rest days was 2.67 days, and the prevalence of chronic diseases was 47.7 days. The two-week consultation rate was 88.6, and the two-week untreated rate was 41.5%, 58.1% of the patients were not treated because of financial difficulties. The hospitalization rate was 30.7%, the average hospitalization time was 21.2 days, the proportion of hospitalization should be in hospital and not in hospital was 35.7% and 74.0% was not in hospital because of economic difficulties. Among 39 cases of infected patients who were eligible for free antiviral therapy, 23 cases were not treated with antiviral therapy, accounting for 58.1% of the cases received free antiviral therapy because of economic difficulties. 21 cases received free antiviral therapy provided by the state. There were 71.4% patients who could take medicine continuously (71.4%) and 50% (90%) who took medicine intermittently, accounting for 23.8% (50%) and 4.8% (50%). The main causes of intermittent medication were opportunistic infection and adverse reactions. The average outpatient expenses were 106 yuan (median 67 yuan). The cost of two-week self-care and drug purchase was 75 yuan (median 40 yuan). The average hospitalization cost was 6475 yuan (median 3171 yuan). The average medical cost over the past year was $3536 (median $1000). Conclusion: the health service needs and utilization of HIV infected people in Urumqi city is large. According to the characteristics of health service for HIV infected people, the health department should formulate corresponding countermeasures as soon as possible, and vigorously publicize and implement the policy of "four free and one care". Establish medical aid mechanism to meet the health service utilization of HIV infected persons.
【学位授予单位】：新疆医科大学
【学位级别】：硕士
【学位授予年份】：2008
【分类号】：R512.91;R181.3
[Abstract]:Objective: to understand the health service needs, utilization and cost of HIV infected people in Urumqi, and to provide basis for the health department of Urumqi to formulate policies and measures on HIV infection. Methods: 88 cases of HIV infection in Urumqi were investigated by personal interview. Results among 88 cases of HIV infection, 56 were male, 32 were female, 9 were Han, 77 were Uygur and 2 were Hui. The average age was 32 years old. The rate of two weeks bed rest was 58.0 days, two weeks bed rest days was 2.67 days, and the prevalence of chronic diseases was 47.7 days. The two-week consultation rate was 88.6, and the two-week untreated rate was 41.5%, 58.1% of the patients were not treated because of financial difficulties. The hospitalization rate was 30.7%, the average hospitalization time was 21.2 days, the proportion of hospitalization should be in hospital and not in hospital was 35.7% and 74.0% was not in hospital because of economic difficulties. Among 39 cases of infected patients who were eligible for free antiviral therapy, 23 cases were not treated with antiviral therapy, accounting for 58.1% of the cases received free antiviral therapy because of economic difficulties. 21 cases received free antiviral therapy provided by the state. There were 71.4% patients who could take medicine continuously (71.4%) and 50% (90%) who took medicine intermittently, accounting for 23.8% (50%) and 4.8% (50%). The main causes of intermittent medication were opportunistic infection and adverse reactions. The average outpatient expenses were 106 yuan (median 67 yuan). The cost of two-week self-care and drug purchase was 75 yuan (median 40 yuan). The average hospitalization cost was 6475 yuan (median 3171 yuan). The average medical cost over the past year was $3536 (median $1000). Conclusion: the health service needs and utilization of HIV infected people in Urumqi city is large. According to the characteristics of health service for HIV infected people, the health department should formulate corresponding countermeasures as soon as possible, and vigorously publicize and implement the policy of "four free and one care". Establish medical aid mechanism to meet the health service utilization of HIV infected persons.
【学位授予单位】：新疆医科大学
【学位级别】：硕士
【学位授予年份】：2008
【分类号】：R512.91;R181.3
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