Phân tích chi phí điều trị người bệnh chạy thận nhân tạo tại Bệnh viện Thống Nhất năm 2022

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Tác giả: Thị Kiều Nga Đặng, Đặng Tú Nguyên Lê, Đình Thanh Lê, Bách Nguyễn, Đình Luyến Phạm, Thị Thu Hiền Phạm, Thị Hồng Nguyên Trần

Ngôn ngữ: vie

Ký hiệu phân loại: 915.97 Geography of and travel in Asia

Thông tin xuất bản: Tạp chí Y học Việt Nam (Tổng hội Y học Việt Nam), 2023

Mô tả vật lý: 148-152

Bộ sưu tập: Metadata

ID: 502521

Thêm vào giỏ

Bệnh thận mạn là một mối đe dọa sức khỏe cộng đồng trên toàn thế giới, gánh nặng về kinh tế do bệnh thận gây ra cũng có những tác động đáng kể đối với ngân sách chăm sóc sức khỏe của các quốc gia. Đối tượng và phương pháp nghiên cứu: Nghiên cứu hồi cứu, mô tả cắt ngang phân tích chi phí trực tiếp y tế của người bệnh chạy thận nhân tạo (HD) tại Khoa nội thận - lọc máu, bệnh viện Thống Nhất năm 2022. Kết quả: Nghiên cứu tiến hành sàng lọc 44 người bệnh HD điều trị ngoại trú. Chi phí điều trị/năm của người bệnh HD tại bệnh viện Thống Nhất là 130.399.119 VND (119.572.241-141.511.275), trong đó BHYT chi trả 93,59%. Kết quả phân tích cơ cấu chi phí cho thấy chi phí chạy thận chiếm tỷ trọng lớn nhất (59,51%). Ngoài ra, chi phí thuốc là thành phần chi phí chiếm tỷ trọng thứ 2 trong cơ cấu chi phí điều trị (35,63%). Không có sự khác biệt có ý nghĩa thống kê giữa chi phí điều trị của các nhóm người bệnh (p>
0,05). Kết luận: Nghiên cứu cho thấy gánh nặng kinh tế đáng kể của người bệnh HD trên quan điểm của cơ quan chi trả thứ 3 (BHYT).Chronic kidney disease poses a global public health challenge, with substantial economic implications for healthcare budgets. Methods: A retrospective cross-sectional study analyzes the direct medical costs incurred by hemodialysis (HD) patients in the Department of Nephrology - Dialysis at Thong Nhat Hospital in 2022. Results: Our analysis includes 44 HD outpatients. The cost of treatment/year for HD patients at Thong Nhat Hospital is 130,399,119 VND (119,572,241 - 141,511,275), of which health insurance covers 93.59%. Cost of dialysis represent the largest share of these costs, accounting for 59.51%. Furthermore, cost of drugs constitutes the second-largest component, contributing 35.63% to the overall treatment cost structure. Our findings indicate no statistically significant differences in treatment costs among patient groups (p >
0.05). Conclusion: This study underscores the substantial economic burden carried by HD patients, particularly from the perspective of third-party payers such as health insurance.

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