The cost of home-based care for HIV/AIDS patients in Zimbabwe
The cost of home-based care for HIV/AIDS patients in Zimbabwe
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DOI：
10.1080/09540129848361
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发表时间：
1998-12-01
影响因子：
1.7
通讯作者：
Vera, E
中科院分区：
文献类型：
--
作者：
Hansen, K;Woelk, G;Vera, E
根据一项关于津巴布韦艾滋病毒/艾滋病患者社区家庭护理 (CHBC) 成本和质量的研究，估算了项目和家庭成本。使用结构化问卷对从六种已建立的 CHBC 计划中抽取的 60 名患者和护理人员进行了访谈。详细的成本信息是从四个家庭护理计划（两个城市和两个农村）中收集的。在所研究的两个城市项目中，一次家访的费用估计为 129 南非兰特（16 美元），另一个为 183 南非兰特（23 美元）。在这两项农村计划中，其中一项的家访费用为 313 南非兰特（38 美元），另一项则为 343 南非兰特（42 美元）。这些费用中的很大一部分并没有给患者带来直接好处，因为每次家访总费用的大约 56-75% 都花在了探望患者身上。农村家庭护理计划的家访费用相当于地区医院 2.7 个住院日的费用。三个月内照顾卧床不起的艾滋病患者的家庭费用估计在 556 至 841 南非兰特之间。护理人员每天花在常规患者护理上的时间多达 2.5-3.5 小时。该计划成本很高，而且计划通常不评估有效性或成本效益。家访费用高昂导致探访次数减少，从而将大部分负担和护理费用留给了家庭和患者。
From a study on the cost and quality of community home-based care (CHBC) for HIV/AIDS patients in Zimbabwe, programme and household costs were estimated. Interviews, using a structured questionnaire, were held with 60 patients and caregivers sampled from six types of established CHBC schemes. Detailed cost information was collected from four home care programmes, two urban and two rural. The cost of a home visit in the two urban programmes studied was estimated to be Z$129 (US$16) in one, and Z$183 (US$23) in the other. In one of the two rural schemes, the cost of a home visit was Z$313 (US$38), in the other this was Z$343 (US$42). A large proportion of these costs were not Of direct benefit to the patients, as approximately 56-75% of the total cost per home visit was spent getting to the patient. The costs of a home visit in a rural home-based care programme corresponded to the costs of 2.7 inpatient days in a district hospital. The family cost of caring for a bedridden AIDS patient over a three-month period was estimated to be between Z$556-841. Caregivers spent as much as 2.5-3.5 hours a day on routine patient care. The programme costs are high, and schemes do not generally assess effectiveness, nor cost-effectiveness. The high cost of home visits leads to less frequent visits, leaving a larger part of both the burden and the cost of care to the families and the patients.