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2021年,哥伦比亚的结核病患者面临高昂的治疗支持费用
Oscar Andrés Cruz Martínez1, Ingrid García2, Gloria Mercedes Puerto3
1Programa Nacional para el Control de la Tuberculosis, Ministerio de Salud y Protección Social, Bogotá, D.C., Colombia.
PloS one
|April 18, 2024
概括
哥伦比亚一半以上的家庭因结核病 (TB) 治疗而面临灾难性成本,原因是非医疗费用和收入损失. 扩大社会保障对于降低结核病患者的经济负担至关重要.
科学领域:
- 公共卫生 公共卫生
- 卫生经济学 卫生经济学
- 流行病学 流行病学
背景情况:
- 结核病 (TB) 仍然是一个重大的全球卫生挑战,世界卫生组织 (WHO) 结束结核病战略的目标是到2035年消除结核病.
- 评估患者的经济负担对于了解治疗可获得性和开发有效的支持系统至关重要.
研究的目的:
- 为了估计哥伦比亚结核病患者在治疗期间所承受的费用.
- 确定面临灾难性成本 (CC) 的家庭比例,并确定相关的风险因素.
- 为世界卫生组织在哥伦比亚的结核病终结战略提供基线数据.
主要方法:
- 2021年在哥伦比亚进行了一项全国代表性的横截面调查.
- 通过电话采访收集了有关家庭成本 (直接和间接),时间损失,收入和资产的数据.
- 灾难性成本被定义为超过家庭年收入20%的支出.
主要成果:
- 超过一半 (51.7%) 的受结核病影响的家庭承担了灾难性成本,而耐药结核病例 (DR-TB) 的比例更高 (65.0%).
- 患者平均成本为1218美元,非医疗支出 (860.9美元) 和间接成本 (339美元) 是主要的驱动因素.
- 影响灾难性成本的因素包括较低收入五分位数,失业以及具有耐药结核病.
结论:
- 非医疗的自付费用和收入损失大大增加了结核病患者的灾难性成本.
- 哥伦比亚现有的社会保护计划需要扩大,以减轻结核病对家庭的经济影响,特别是那些收入较低的家庭.
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