河南省终末期肾病透析患者疾病经济负担研究.docVIP

河南省终末期肾病透析患者疾病经济负担研究 崔俊丹 周子琛 田庆丰 鲁评 王小娟 鄢运威 郑州大学公共卫生学院社会医学与卫生事业管理学教研室 美国杜兰大学 X 关注成功！ 加关注后您将方便地在 我的关注中得到本文献的被引频次变化的通知！ 新浪微博 腾讯微博 人人网 开心网 豆瓣网 网易微博 摘????要： 目的 通过对河南省腹膜透析试点医院的终末期肾病患者透析治疗费用调查, 比较不同透析治疗方法患者疾病经济负担差异。方法 以2014年河南省腹膜透析试点医院, 终末期肾病透析治疗的患者为研究对象, 采取整群随机抽样的方法抽样, 通过随诊问卷调查获得各透析患者的平均每年的疾病经济负担, 并进行相关分析。结果 血液透析的直接医疗费用为70 712.00元, 腹膜透析为58 261.50元, 血透患者高于腹透患者 (Z=-5.876, P0.001) ;主要直接非医疗费用中, 血透患者营养费为1 539.00元, 腹透患者为1 140.00元, 血透患者高于腹透患者 (Z=-2.385, P0.017) , 血透患者就医交通费为1 013.00元, 腹透患者为982.00元, 血透患者高于腹透患者 (Z=-1.092, P0.275) 。结论 对于终末期肾病患者而言, 采用腹膜透析治疗, 可以缩减救治费用, 减轻经济负担。 关键词： 终末期肾病; 透析; 疾病经济负担; 作者简介：田庆丰, E-mail:zzutqf@126.com 收稿日期：2017-06-05 基金：国家卫生和计划生育委员会终末期肾病患者腹膜透析治疗可及性及其基层管理模式探索项目 (国卫医研发[2016]21号) Analysis of direct economic burden of dialysis in patients with end stage renal disease in Henan Province CUI Jun-dan ZHOU Zi-chen TIAN Qing-feng LU Ping WANG Xiao-juan YAN Yun-wei Department of Social Medicine and Health Management, College of Public Health of Zhengzhou University; Abstract： Objective To analyze and compare the economic burden of nephrosis patients at terminal stage in hemodialysis and peritoneal dialysis treatment in Henan province. Methods Obtain the economic burden of the ESRD dialysis patients by questionnaire and follow-up with the help of pilot hospital. Calculate and analyze the economic burden of the disease through the method of economic burden calculation in multiple centers. Results The direct medical costs of hemodiatysis and peritoneal dialysis were 70712. 00 RMB and 58261. 50 RMB per patient per year. The costs of hemodialysis patients were higher than that of peritoneal dialysis patients, and there were statistical significance between them ( Z=-5. 876, P0. 001) . In the main non-medical costs, hemodialysis patients nutrition fee was 1539. 00 RMB, higher than peritoneal dialysis patients 1140. 00 RMB, ( Z =-2. 385, P 0. 017) . In terms of transportation cost, the former one was 1013 RMB, while the latter one was 982 RMB ( Z =-1. 09