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目的探讨新疆4个地区HIV感染者个人直接经济投入的差异。方法对新疆乌鲁木齐、哈密、伊犁、喀什4个地区240例HIV感染者家庭收入和医疗费用支付方式进行调查;分析各地区HIV感染者的门诊费用(诊疗费、交通费)、住院费用(住院费、交通费、食宿费、营养费)等存在的差异。结果乌鲁木齐与其他地区相比HIV门诊就诊率和住院率均比较高,且各项直接医疗费用与非直接医疗费用也较其他地区高。结论经济发达地区,交通业较为便利,医疗服务较为齐全,医疗服务投入较多。而经济发展较为缓慢地区,其各种医疗服务较为匮乏,人民获得各种医疗服务较为困难,并且由于个人收入较低,居民受教育程度也较低,HIV感染者各项医疗投入也较低。
Objective To investigate the differences of individual direct economic input among HIV infected people in 4 districts of Xinjiang. Methods 240 families of HIV-infected persons in Urumqi, Hami, Ili and Kashi in Xinjiang were investigated for their family income and medical expenses. The outpatient expenses (medical expenses, transportation expenses), hospitalization expenses , Transportation costs, accommodation costs, nutritional fees) and other differences exist. Results Compared with other regions in Urumqi HIV outpatient visits and hospitalization rates were relatively high, and the direct medical costs and indirect medical costs are also higher than in other regions. Conclusion In economically developed areas, the transportation industry is more convenient, medical services are more complete, and medical services are more invested. In the areas where economic development is relatively slow, various kinds of medical services are scarce, and it is more difficult for people to receive various kinds of medical services. Because of their low personal income and their low level of education, all kinds of medical care for HIV-infected people are also low.