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目的探讨肺结核患者疾病经济负担及其影响因素,为有效降低肺结核患者的经济负担提供依据。方法2013年1月-2014年1月在本医院结核病门诊登记的治疗疗程已经结束的肺结核患者302例作为研究对象,对肺结核患者疾病经济负担进行调查并对其影响因素进行单因素和多因素分析。结果肺结核患者人均疾病经济负担为(5 730.35±325.12)元,中位数为5 325.90元。肺结核患者疾病经济负担影响因素的单因素分析,结果显示教育程度高、个人年收入高是保护因素;职业、因病卧床、因病住院、休工天数、伤残级别、症状持续天数、就诊延迟天数、就诊延误、确诊前就诊次数、首诊单位均为危险因素(P<0.05)。多因素分析显示教育程度高是保护因素;职业为农民、因病卧床、因病住院、伤残级别高、症状持续天数多、就诊延误、首诊单位为非结核病防治医院均为危险因素(P<0.05)。结论结核病患者的疾病经济负担依然沉重,加强对居民特别是农民的结核病防治知识宣传教育,提高基层医疗机构医疗服务水平,保证结核病患者的早期、适量、联合、规律、全程治疗,同时增强对肺结核患者的医疗保障力度,引导患者就诊流向合理,降低诊疗费用,从而达到降低肺结核患者的疾病经济负担的目的。
Objective To investigate the economic burden of tuberculosis patients and its influencing factors, and to provide a basis for effectively reducing the economic burden of tuberculosis patients. Methods From January 2013 to January 2014, 302 patients with tuberculosis who had completed the treatment course registered in the TB clinic of our hospital were enrolled in this study. The economic burden of TB patients was investigated and univariate and multivariate analysis . Results The economic burden per capita of tuberculosis patients was (5 730.35 ± 325.12) yuan, with a median of 5 325.90 yuan. Tuberculosis patients with economic burden of unilateral factor analysis showed that a high level of education, high annual personal income is a protective factor; occupation, bedridden due to illness, sick leave, days of rest, level of disability, the number of days of symptoms, treatment delays The number of days, the delay in treatment, the number of visits before diagnosis and the first diagnosis unit were all risk factors (P <0.05). Multivariate analysis showed that a high level of education was a protective factor. Occupations were peasants, bedridden, hospitalized due to illness, high level of disability, prolonged symptoms persisted, and delayed visits. The first non-TB hospital was a risk factor (P <0.05). Conclusion TB patients are still suffering from a heavy financial burden of disease. Publicity and education on tuberculosis prevention and control among residents, especially peasants, should be stepped up. The medical service of grass-roots medical institutions should be enhanced to ensure the early, moderate, joint, regular and full treatment of tuberculosis patients. The patient’s medical security efforts to guide the patient flow of treatment is reasonable and reduce the cost of treatment, so as to achieve the purpose of reducing the economic burden of disease in patients with tuberculosis.