Medical cost analysis of initially-treated patients with tuberculosis under designated hospital mode / 预防医学

ABSTRACT

Objective To explore the direct medical cost of tuberculosis patients and its components under designated hospital mode,and to provide evidence for configuration optimization of tuberculosis prevention and control funds in Zhejiang Province.Methods A total of 7 counties including Cixi,were selected as study spots,and 50 initially-treated tuberculosis patients who completed treatment from each county were continually enrolled as study objects.Questionnaire survey and outpatient and inpatient medical records survey were carried out for each object.Results Average medical cost of initially-treated tuberculosis patients was 4 086 Yuan (RMB)which was 12.69% of their total yearly family income and 20.17% of patients occurred in debt.Average medical cost in designated hospital was 3 020 Yuan (RMB),of which 78.31% (2 365 Yuan)was used for DOT treatment in outpatient clinic.Examination cost of the outpatient constituted 25.24% (CT cost constituted 8.57%),and non -free medicine constituted 74.76% (hepatic protector medicine cost constituted 41.94%).Conclusion Tuberculosis patients suffered heavy economic burden because of self -paying auxiliary examination and drugs.To adjust existing funds usage of tuberculosis prevention and resource configuration is needed.