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目的调查云南省昆明市美沙酮维持治疗病人的治疗成本负荷,为未来药物滥用门诊治疗模式提供数据支持。方法 2015—2016年对昆明市部分美沙酮维持治疗门诊1 000名美沙酮维持治疗病人进行问卷调查,并分析治疗成本,被调查人员按参加美沙酮维持治疗时间分为参加维持治疗半年以内、超过2年和超过5年3组,直接医疗成本包括身体检查费用和治疗费。结果 3个年龄组身体检查费用分别为401元、273元和105元,差异有统计学意义(F=45.855,P<0.05);治疗费分别为321元、256元和154元,差异有统计学意义(F=31.047,P<0.05);间接医疗成本主要为往返交通费,分别为334元、263元和176元,差异有统计学意义(F=34.297,P<0.05);3组被调查人员2016年平均月收入为1 892元、2 203元和2 532元,差异有统计学意义(F=15.780,P<0.05),但均低于2016年昆明市城镇常住居民人均可支配收入(3 114元/月)。结论被调查人员参加美沙酮维持治疗时间越长、其直接和间接医疗成本越低,被调查人员参加美沙酮维持治疗时间越长、收入也越高,但均低于2016年昆明市城镇常住居民人均可支配收入。
Objective To investigate the treatment cost of methadone maintenance treatment patients in Kunming, Yunnan Province, and to provide data support for future drug abuse treatment mode. Methods A total of 1 000 methadone maintenance patients in some methadone maintenance treatment clinics in Kunming were surveyed and their treatment costs were analyzed from 2015 to 2016. The participants were divided into two groups according to the time of methadone maintenance treatment: Over 5 years in 3 groups, direct medical costs include the cost of medical examination and treatment. Results The costs of physical examination in the three age groups were 401 yuan, 273 yuan and 105 yuan respectively, with statistical significance (F = 45.855, P <0.05). The treatment costs were 321 yuan, 256 yuan and 154 yuan respectively, with statistical differences (F = 31.047, P <0.05). The indirect medical costs were mainly 334 yuan, 263 yuan and 176 yuan respectively, the difference was statistically significant (F = 34.297, P <0.05) The average monthly income of investigators in 2016 was 1,892 yuan, 2,203 yuan and 2,532 yuan, with significant differences (F = 15.780, P <0.05), but all of them were lower than the per capita disposable income of urban residents in Kunming in 2016 (3,114 yuan / month). Conclusions The longer the participants in methadone maintenance treatment are, the lower the direct and indirect medical costs are. The longer the respondents participate in the methadone maintenance treatment and the higher the incomes, all of them are lower than the average per capita of urban residents in Kunming in 2016 Disposal income.