2004-2013年湖南省晚期血吸虫病治疗救助效果评价  

Evaluation on effect of treatment and assistance to advanced schistosomiasis patients in Hunan Province from 2004 to 2013

作　　者：李胜明[1,2] 赵正元[1,2] 彭再之 王璋华 李援[4] 郭凤英[1] 任光辉[1] 

机构地区：[1]湖南省血吸虫病防治所,岳阳414000 [2]中南大学公共卫生学院 [3]湖南省血吸虫病防治工作领导小组办公室 [4]中南大学化学化工学院

出　　处：《中国血吸虫病防治杂志》2014年第4期362-366,共5页Chinese Journal of Schistosomiasis Control

基　　金：国家重大科技专项(2012ZX10004909);湖南省卫生厅科技项目(A2011.007;B2011.111;B2012.126);湖南省科技厅科技项目(2013WK3046);湖南省血咨委科技项目([2005]1号)

摘　　要：目的综合评价2004-2013年湖南省晚期血吸虫病(晚血)治疗救助效果。方法通过资料收集和问卷调查,了解湖南省晚血救助经费投入情况、医院利润、病人健康改善情况等。采用专家咨询法和层次分析法建立晚血治疗救助综合评价指标体系,并对救助项目进行综合评价。结果确立了包含6个一级指标和33个二级指标的湖南省晚血治疗救助效果评价体系,6个一级指标中治疗救助活动评估得分最高,为22.25分,满足度评估最低,为8.15分,综合评估得分为87.06分。2004-2013年晚血病人年均治愈率13.08%,有60%以上病人病情好转,近70%的病人精神状况改善,分别有70%以上的病人的生活自理能力增强、社会交往情况改善及家庭幸福感增强,陪护费用人均减少近2 000元,所有定点医院利润均增加。结论湖南省晚血治疗救助效果和效益显著,政府应持续投入。Objective To comprehensively evaluate the effect of the program of treatment and assistance to advanced schis-tosomiasis patients in Hunan Province from 2004 to 2013. Methods The fund investment of the program,the profits of hospi-tals and the improvement of the patients’health were investigated by data collection and questionnaire survey. The evaluation index system of treatment and assistance to advanced schistosomiasis in Hunan Province was constructed by the Delphi method and analytic hierarchy process,and the program was assessed comprehensively. Results The evaluation index system includ-ing 6 primary indices and 33 secondary indices was established. Among all the primary indices,the score of the treatment and assistance（22.25）was the highest,and that of the satisfaction assessment（8.15）was the lowest,and the score of the compre-hensive assessment was 87.06. The average cure rate of the patients was 13.08%from 2004 to 2013. More than 60%of the pa-tients’disease condition got better,and nearly 70%of the patients’psychological condition improved,and more than 70%of patients’self-help ability and social contact improved,as well as family happiness increased. In addition,the annual average cost for caretakers decreased by 2000 Yuan,and the profits of all the fixed-point hospitals for treatment and assistance in-creased. Conclusion The effectiveness and efficiency of the treatment and assistance to advanced schistosomiasis patients in Hunan Province is obvious,and the government should continuously invest in the program.

关 键 词：晚期血吸虫病 治疗救助 效果评价 湖南省 

分 类 号：R532.21[医药卫生—内科学]