CAJ | 학술논문

目的分析南京市艾滋病抗病毒治疗患者因艾滋病造成的经济负担及其影响因素.方法按疾病名称将接受抗病毒治疗患者分为HIV感染者和AIDS患者(HIV/AIDS),收集两者过去一年因艾滋病直接医疗费用、直接非医疗费用和间接经济损失.对总费用和直接医疗费用进行单因素和多因素分析,探寻其影响因素.结果 133例HIV感染者年直接医疗费用和总费用中位数分别为1 200元和1 972元,145例AIDS患者年直接医疗费用和总费用中位数分别为1 060元和2 826元.HIV/AIDS直接医疗费用和总费用差异无统计学意义.单因素分析结果显示,样本来源不同,总费用不同.多因素分析结果表明,发病时间与CD4+T淋巴细胞计数水平、直接医疗费用呈负相关,经同性性接触感染者医疗费用低于异性性接触者,样本来源为其他就诊的检测者直接医疗费用高于自愿检测咨询者.结论应进一步扩大检测和治疗覆盖面,以期尽早发现感染者,尽快给予抗病毒治疗,维持患者免疫功能,进而降低HIV/AIDS医疗费用.
목적 분석남경시애자병항병독치료환자인애자병조성적경제부담급기영향인소.방법 안질병명칭장접수항병독치료환자분위HIV감염자화AIDS환자(HIV/AIDS),수집량자과거일년인애자병직접의료비용、직접비의료비용화간접경제손실.대총비용화직접의료비용진행단인소화다인소분석,탐심기영향인소.결과 133례HIV감염자년직접의료비용화총비용중위수분별위1 200원화1 972원,145례AIDS환자년직접의료비용화총비용중위수분별위1 060원화2 826원.HIV/AIDS직접의료비용화총비용차이무통계학의의.단인소분석결과현시,양본래원불동,총비용불동.다인소분석결과표명,발병시간여CD4+T림파세포계수수평、직접의료비용정부상관,경동성성접촉감염자의료비용저우이성성접촉자,양본래원위기타취진적검측자직접의료비용고우자원검측자순자.결론 응진일보확대검측화치료복개면,이기진조발현감염자,진쾌급여항병독치료,유지환자면역공능,진이강저HIV/AIDS의료비용.
Objective To understand the economic burden caused by antiretroviral treatment for people living with HIV/AIDS and influencing factors in Nanjing.Methods People living with HIV/AIDS were divided into two groups,HIV infected patients and AIDS patients.The data about their direct medical expenditure,direct non-medical expenditure and indirect economic loss in the past year were collected.Univariate and multivariate analysis were conducted to identify the potential influencing factors.Results The median of direct medical expenditure and total costs for 133 HIV infected patients were 1 200 yuan RMB and 1 972 yuan RMB respectively.The median of direct medical expenditure and total costs for 145 AIDS patients were 1 060 yuan RMB and 2 826 yuan RMB respectively.The differences in direct medical expenditure and total costs between HIV infected patients and AIDS patients showed no statistical significance.The results from univariate analysis indicated that the sample source influenced total costs significantly.Multivariate analysis showed that onset time and CD level were negatively correlated with direct medical expenditure.The patients infected through heterosexual contact had more direct medical expenditure than those infected through homosexual contact.The patients receiving HIV test in hospitals had more direct medical expenditure than those receiving volunteer counseling and testing.Conclusion Further efforts should be made to expand HIV testing and treatment coverage in order to detect HIV infections as early as possible.Early antiretroviral treatment should be given to HIV infected patients to maintain their immunity and reduce their medical expenditure.