Mối tương quan giữa đặc điểm bệnh nhân và chi phí trực tiếp y tế trong điều trị hen phế quản tại Bệnh viện Quận 11

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Tác giả: Thị Xuân Liễu Nguyễn, Quốc Dũng Phạm

Ngôn ngữ: vie

Ký hiệu phân loại:

Thông tin xuất bản: Tạp chí Khoa học và Công nghệ - Đại học Nguyễn Tất Thành, 2023

Mô tả vật lý: tr.58

Bộ sưu tập: Metadata

ID: 339087

Thêm vào giỏ Liên kết toàn văn

Asthma is a chronic disease that brings about a long-term economic burden to patients, so health insurance is essential when it comes to treatment at district hospitals. To have a more specific view of the above issue, the study conducted a survey on direct medical costs in asthma treatment at District 11 Hospital. We conducted retrospective review of medical records and electronic data on asthma treatment costs in 2020 on the group of patients aged 16 years and older. The results show that the average direct medical cost per asthma patient when treated at District 11 Hospital in 2020 was 2,918,705 VND, with a confidence interval of 95 % (2,613,629-3,223,780) VND. In the components of direct medical costs, the cost of medicines was 2,204,131 VND, accounting for the highest proportion with 75.52 %. The average annual direct medical cost of each female patient was 3,285,230 VND, which was higher than that of the male patient, at 2,397,572 VND (1.4 times more expensive for female than male). The average annual direct medical costs of each patient also increase with age and there are differences among groups of patients with different numbers of comorbidities.Hen phế quản là bệnh mạn tính đem lại gánh nặng kinh tế lâu dài cho bệnh nhân nên bảo hiểm y tế rất cần thiết khi cần điều trị tại các bệnh viện tuyến quận/huyện. Để có cái nhìn cụ thể hơn về vấn đề trên, nghiên cứu tiến hành khảo sát chi phí trực tiếp y tế trong điều trị hen phế quản tại Bệnh viện Quận 11. Tiến hành hồi cứu hồ sơ bệnh án, dữ liệu điện tử về chi phí điều trị hen phế quản trong năm 2020 trên nhóm bệnh nhân từ 16 tuổi trở lên. Kết quả cho thấy chi phí trực tiếp y tế trung bình trên mỗi bệnh nhân hen phế quản khi điều trị tại Bệnh viện Quận 11 vào năm 2020 là 2.918.705 đồng, với khoảng tin cậy là 95 % (từ 2.613.629 đồng đến 3.223.780 đồng). Trong cấu phần chi phí trực tiếp y tế thì chi phí thuốc là 2.204.131 đồng, chiếm tỉ lệ cao nhất với 75,52 %. Chi phí trực tiếp y tế trung bình hàng năm của mỗi bệnh nhân nữ là 3.285.230 đồng cao hơn bệnh nhân nam 2.397.572 đồng (chi phí cho bệnh nhân nữ gấp 1,4 lần nam). Chi phí trực tiếp y tế trung bình hàng năm của mỗi bệnh nhân cũng tăng dần theo độ tuổi và có sự khác biệt giữa các nhóm bệnh nhân có số bệnh kèm khác nhau.

1. Đọc trực tuyến

1. Đọc trực tuyến

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