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首页> 外文期刊>AIDS care. >The burden of HIV-related illness on outpatient health services in KwaZulu-Natal, South Africa.
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The burden of HIV-related illness on outpatient health services in KwaZulu-Natal, South Africa.

机译：南非夸祖鲁-纳塔尔省与艾滋病毒有关的疾病对门诊医疗服务的负担。

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Health services in sub-Saharan Africa will be faced with increasing numbers of AIDS patients for many years to come. Where there is good availability of drugs and other resources, the costs of treating HIV/AIDS is likely to be higher than those of treating other types of illness. This will put services under strain and potentially jeopardise health system reform, depending on the vulnerability of the system. Whereas previous research has focussed on inpatients, this paper looks at the impact of HIV/AIDS on outpatient services in a district of South Africa. Through facility visits at various levels of care, data concerning HIV status and the costs of care was collected for all patients presenting over a set period of time. The proportion of patients presenting for HIV-related care ranged from 20.2 to 24.5%. The average costs of treating HIV-positive patients were significantly higher than those for non HIV patients at hospitals, with clinics not experiencing this difference due to the limited service provided. District hospitals spent the greatest proportion of direct patient care resources on treating HIV-related illness. In terms of outpatient care, this data suggests that district hospitals may require the most support in dealing with a rising number of AIDS patients.
机译：在未来的许多年中，撒哈拉以南非洲地区的卫生服务将面临越来越多的艾滋病患者。如果有足够的药品和其他资源，则治疗艾滋病毒/艾滋病的费用可能会比治疗其他类型疾病的费用高。根据系统的脆弱性，这将使服务承受压力，并可能危害卫生系统的改革。尽管先前的研究集中在住院患者上，但本文着眼于艾滋病毒/艾滋病对南非某地区门诊服务的影响。通过在不同级别的护理机构就诊，收集了在指定时间段内就诊的所有患者的艾滋病毒状况和护理费用数据。接受HIV相关护理的患者比例为20.2％至24.5％。艾滋病毒阳性患者的平均治疗费用明显高于医院中非艾滋病毒患者的平均费用，由于所提供的服务有限，诊所没有遇到这种差异。地区医院在治疗艾滋病毒相关疾病上花费了最大比例的直接患者护理资源。在门诊方面，该数据表明，在应对越来越多的艾滋病患者时，地区医院可能需要最多的支持。

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