發(fā)布時(shí)間：2018-08-07 21:04

【摘要】： 目的:了解烏魯木齊市HIV感染者的衛(wèi)生服務(wù)需要、利用和費(fèi)用情況,為烏魯木齊市衛(wèi)生部門制定關(guān)于HIV感染者的政策和措施提供依據(jù)。方法:采用個(gè)人訪談法對(duì)烏魯木齊市88例HIV感染者進(jìn)行調(diào)查,收集相關(guān)資料。結(jié)果:88例HIV感染者中男性56例,女性32例;漢族9例,維吾爾族77例,回族2例;平均年齡為32歲。兩周患病率為81.8%,兩周患病天數(shù)為6.10天,兩周臥床率為58.0%,兩周臥床天數(shù)為2.67天,慢性病患病率為47.7%。兩周就診率88.6%,兩周患者未就診率為41.5%,58.1%因經(jīng)濟(jì)困難沒有治療。住院率為30.7%,人均住院天數(shù)為21.2天,應(yīng)住院而未住院比例為35.7%,74.0%因經(jīng)濟(jì)困難未住院。符合國家免費(fèi)抗病毒治療的感染者有39例,23例未進(jìn)行抗病毒治療,占58.8%,57.1%因經(jīng)濟(jì)困難。21例接受國家提供的免費(fèi)抗病毒治療。能90%～100%堅(jiān)持服藥的占71.4%,50%～90%間斷服藥的占23.8%,50%間斷服藥的占4.8%,間斷服藥的主要原因?yàn)闄C(jī)會(huì)性感染和不良反應(yīng)。次均門診費(fèi)用為106元(中位數(shù)為67元)。兩周自我醫(yī)療和購藥的費(fèi)用為75元(中位數(shù)為40元)。次均住院費(fèi)用為6475元(中位數(shù)為3171元)。過去一年的平均醫(yī)療費(fèi)用為3536元(中位數(shù)為1000元)。結(jié)論:烏魯木齊市HIV感染者的衛(wèi)生服務(wù)需要和利用量大,衛(wèi)生部門應(yīng)針對(duì)HIV感染者衛(wèi)生服務(wù)的特點(diǎn)及早制定相應(yīng)的對(duì)策,大力宣傳和落實(shí)“四免一關(guān)懷”政策,建立醫(yī)療救助機(jī)制滿足HIV感染者的衛(wèi)生服務(wù)利用。
[Abstract]:Objective: to understand the health service needs, utilization and cost of HIV infected people in Urumqi, and to provide basis for the health department of Urumqi to formulate policies and measures on HIV infection. Methods: 88 cases of HIV infection in Urumqi were investigated by personal interview. Results among 88 cases of HIV infection, 56 were male, 32 were female, 9 were Han, 77 were Uygur and 2 were Hui. The average age was 32 years old. The rate of two weeks bed rest was 58.0 days, two weeks bed rest days was 2.67 days, and the prevalence of chronic diseases was 47.7 days. The two-week consultation rate was 88.6, and the two-week untreated rate was 41.5%, 58.1% of the patients were not treated because of financial difficulties. The hospitalization rate was 30.7%, the average hospitalization time was 21.2 days, the proportion of hospitalization should be in hospital and not in hospital was 35.7% and 74.0% was not in hospital because of economic difficulties. Among 39 cases of infected patients who were eligible for free antiviral therapy, 23 cases were not treated with antiviral therapy, accounting for 58.1% of the cases received free antiviral therapy because of economic difficulties. 21 cases received free antiviral therapy provided by the state. There were 71.4% patients who could take medicine continuously (71.4%) and 50% (90%) who took medicine intermittently, accounting for 23.8% (50%) and 4.8% (50%). The main causes of intermittent medication were opportunistic infection and adverse reactions. The average outpatient expenses were 106 yuan (median 67 yuan). The cost of two-week self-care and drug purchase was 75 yuan (median 40 yuan). The average hospitalization cost was 6475 yuan (median 3171 yuan). The average medical cost over the past year was $3536 (median $1000). Conclusion: the health service needs and utilization of HIV infected people in Urumqi city is large. According to the characteristics of health service for HIV infected people, the health department should formulate corresponding countermeasures as soon as possible, and vigorously publicize and implement the policy of "four free and one care". Establish medical aid mechanism to meet the health service utilization of HIV infected persons.
【學(xué)位授予單位】：新疆醫(yī)科大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2008
【分類號(hào)】：R512.91;R181.3

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