耐药肺结核患者治疗结局及费用补偿影响因素分析.pdfVIP

[成本与费用]

耐药肺结核患者治疗结局及费用补偿影响因素分析

胡鹏，吴成璧1

【摘要】目的：分析耐药肺结核患者治疗结局,从费用补偿角度探究其影响因素。方法：采用描述性分析法分

析耐药肺结核患者的费用水平以及补偿情况,采用单因素分析、二元Logistics回归等方法分析患者治疗结局的影响

际补偿比远高于无补助患者，良性结局的患者占64.3%，老年患者、男性患者的治疗结局较差，门诊实际补偿比越

高、有公共卫生项目补助、获得医疗救助患者的治疗结局更优。结论：耐药肺结核患者的费用负担较重，可通过提升

医保补偿水平、完善项目补助政策、扩大医疗救助覆盖面，提高费用补偿水平，改善患者治疗结局。

【关键词】耐药肺结核;治疗结局;影响因素;医疗保障

中图分类号：R19文献标识码：A

AnalysisofInfluencingFactorsofTreatmentOutcomesand

CostCompensationinPatientswithDrug-resistantPulmonaryTuberculosis

HUPeng,WUChengbi

Abstract:ObjectiveToanalyzethetreatmentoutcomeofpatientswithdrug-resistantpulmonarytuberculosis,andexploretheinflu-

encingfactorsfromtheperspectiveofcostcompensation.MethodsDescriptiveanalysiswasusedtoanalyzethecostlevelandcompensa-

tionofpatientswithdrug-resistantpulmonarytuberculosis,andunivariateanalysisandbinarylogisticsregressionwereusedtoanalyzethe

influencingfactorsoftreatmentoutcomesofthepatients.ResultsThetotalmedicaltreatmentcostofpatientswithdrug-resistantpulmonary

tuberculosiswasashighas69190.88yuan,andtheactualcompensationratiowas35.62%.Theactualcompensationratioofpatientswith

subsidiesfromspecialpublichealthprogramswasmuchhigherthanthatofpatientswithoutsubsidies.Thebenignoutcomeaccountedfor

64.3%ofthepatients,andthetreatmentoutcomeoftheelderlypatientsandmalepatientswassignificantlyworse.Thehigheractualcom-

pensationratiooftheoutpatientclinic,themoresubsidiesofthepublichealthprograms,withmedicalaid,thebettertreatmentoutcomesfor

patients.ConclusionThecostburdenofpatientswithdrug-resistantpulmonarytuberculosis