<p>Challenges Faced by Multidrug-Resistant Tuberculosis Patients in Three Financially Affluent Chinese Cities</p>

• DOI: 10.2147/rmhp.s275400
• Publication Date: 2020-11-01T20:05:11Z
• Authors: Peize Zhang; Guanghui Xu; Yanhua Song; Jie Tan; Tao Chen; Guofang Deng
• Keywords: Medical insurance

The aim of this study was to analyze socioeconomic burdens and other difficulties that multidrug-resistant tuberculosis (MDR-TB) patients in cities are facing, identify major obstacles which groups most affected.Face-to-face phone-call interviews were conducted early 2018 follow-up with newly diagnosed MDR-TB 2017 three hospitals financially affluent Chinese cities. Demographic data information on their medical care, insurance coverage, expenses collected analyzed.A total 144 cases reviewed during the period, excluding 38 who lost 29 refused participate, 77 enrolled study. A 61 (79%) these hospitalized after diagnosis an average hospital stay 14 days, them 57 (74%) sputum positive diagnosis. proportion failed community care 48% married, 56% white collar employment 43% temp jobs/unemployed. In terms 23% no and/or New Rural Co-operative Medical Care Scheme (NRCMS) 45% Urban Employee Basic Insurance (UEBMI)/Urban Residents (URBMI) commercial insurance. Difficulties encountered were, financial pressure (33%), psychological stress (26%), adverse drug reactions (23%), repulsive reaction injections (17%). Fourty-eight percent spent over ¥2000 (USD300) per month TB treatment.Despite hardship remains number one difficulty relatively Among them, married working class found be sensitive group have highest tendency fail care. It is utmost urgency enhance current policy improve treatment adherence.