CAJ | 학술논문

目的：综合评价2004-2013年湖南省晚期血吸虫病（晚血）治疗救助效果。方法通过资料收集和问卷调查，了解湖南省晚血救助经费投入情况、医院利润、病人健康改善情况等。采用专家咨询法和层次分析法建立晚血治疗救助综合评价指标体系，并对救助项目进行综合评价。结果确立了包含6个一级指标和33个二级指标的湖南省晚血治疗救助效果评价体系，6个一级指标中治疗救助活动评估得分最高，为22.25分，满足度评估最低，为8.15分，综合评估得分为87.06分。2004-2013年晚血病人年均治愈率13.08%，有60%以上病人病情好转，近70%的病人精神状况改善，分别有70%以上的病人的生活自理能力增强、社会交往情况改善及家庭幸福感增强，陪护费用人均减少近2000元，所有定点医院利润均增加。结论湖南省晚血治疗救助效果和效益显著，政府应持续投入。
목적：종합평개2004-2013년호남성만기혈흡충병（만혈）치료구조효과。방법통과자료수집화문권조사，료해호남성만혈구조경비투입정황、의원리윤、병인건강개선정황등。채용전가자순법화층차분석법건립만혈치료구조종합평개지표체계，병대구조항목진행종합평개。결과학립료포함6개일급지표화33개이급지표적호남성만혈치료구조효과평개체계，6개일급지표중치료구조활동평고득분최고，위22.25분，만족도평고최저，위8.15분，종합평고득분위87.06분。2004-2013년만혈병인년균치유솔13.08%，유60%이상병인병정호전，근70%적병인정신상황개선，분별유70%이상적병인적생활자리능력증강、사회교왕정황개선급가정행복감증강，배호비용인균감소근2000원，소유정점의원리윤균증가。결론호남성만혈치료구조효과화효익현저，정부응지속투입。
Objective To comprehensively evaluate the effect of the program of treatment and assistance to advanced schis-tosomiasis patients in Hunan Province from 2004 to 2013. Methods The fund investment of the program,the profits of hospi-tals and the improvement of the patients’health were investigated by data collection and questionnaire survey. The evaluation index system of treatment and assistance to advanced schistosomiasis in Hunan Province was constructed by the Delphi method and analytic hierarchy process,and the program was assessed comprehensively. Results The evaluation index system includ-ing 6 primary indices and 33 secondary indices was established. Among all the primary indices,the score of the treatment and assistance(22.25)was the highest,and that of the satisfaction assessment(8.15)was the lowest,and the score of the compre-hensive assessment was 87.06. The average cure rate of the patients was 13.08%from 2004 to 2013. More than 60%of the pa-tients’disease condition got better,and nearly 70%of the patients’psychological condition improved,and more than 70%of patients’self-help ability and social contact improved,as well as family happiness increased. In addition,the annual average cost for caretakers decreased by 2000 Yuan,and the profits of all the fixed-point hospitals for treatment and assistance in-creased. Conclusion The effectiveness and efficiency of the treatment and assistance to advanced schistosomiasis patients in Hunan Province is obvious,and the government should continuously invest in the program.