老挝人民民主共和国HIV护理高额自付费用导致受影响患者灾难性支出的证据

数据集获取（Figshare）

• 源站标题：Evidence of High Out of Pocket Spending for HIV Care Leading to Catastrophic Expenditure for Affected Patients in Lao People’'s Democratic Republic
• DOI：10.1371/journal.pone.0136664
• 发布日期：2015-09-01
• 文件数：3 个
• 文件总体积：137.86 KB
• 源站页面：https://plos.figshare.com/articles/dataset/_Evidence_of_High_Out_of_Pocket_Spending_for_HIV_Care_Leading_to_Catastrophic_Expenditure_for_Affected_Patients_in_Lao_People_s_Democratic_Republic_/1532464

命令行下载

curl -L -o "S1_Dataset.xlsx" "https://ndownloader.figshare.com/files/2249162"
curl -L -o "S1_Table.docx" "https://ndownloader.figshare.com/files/2249163"
curl -L -o "S2_Table.docx" "https://ndownloader.figshare.com/files/2249164"

文件清单

• S1_Dataset.xlsx（110.30 KB）
• S1_Table.docx（15.03 KB）
• S2_Table.docx（12.53 KB）

文件总体积 137.86 KB（源站 API 实测）。

数据加载示例（图像类）

from PIL import Image
import glob, os

files = (glob.glob(os.path.join(path, "**", "*.png"), recursive=True)
       + glob.glob(os.path.join(path, "**", "*.jpg"), recursive=True)
       + glob.glob(os.path.join(path, "**", "*.tif"), recursive=True))
print("图像文件数:", len(files))
img = Image.open(files[0]); print("尺寸/模式:", img.size, img.mode)

# torchvision Dataset 方式:
# from torchvision import datasets
# ds = datasets.ImageFolder(path)  # 要求 子目录=类别

目录组织与标注格式以源站说明和下载后实际文件为准。

数据说明

Background
The scaling up of antiviral treatment (ART) coverage in the past decade has increased access to care for numerous people living with HIV/AIDS (PLWHA) in low-resource settings. Out-of-pocket payments (OOPs) represent a barrier for healthcare access, adherence and ART effectiveness, and can be economically catastrophic for PLWHA and their family. We evaluated OOPs of PLWHA attending outpatient and inpatient care units and estimated the financial burden for their households in the Lao People’'s Democratic Republic. We assumed that such OOPs may result in catastrophic health expenses in this context with fragile economical balance and low health insurance coverage.
Methods
We conducted a cross-sectional survey of a randomized sample of routine outpatients and a prospective survey of consecutive new inpatients at two referral hospitals (Setthathirat in the capital city, Savannaket in the province). After obtaining informed consent, PLWHA were interviewed using a standardized 82-item questionnaire including information on socio-economic characteristics, disease history and coping strategies. All OOPs occurring during a routine visit or a hospital stay were recorded. Household capacity-to-pay (overall income minus essential expenses), direct and indirect OOPs, OOPs per outpatient visit and per inpatient stay as well as catastrophic spending (greater than or equal to 40% of the capacity-to-pay) were calculated. A multivariate analysis of factors associated with catastrophic spending was conducted.
Results
A total of 320 PLWHA [280 inpatients and 40 outpatients; 132 (41.2%) defined as poor, and 269 (84.1%) on ART] were enrolled. Monthly median household income, essential expenses and capacity-to-pay were US$147.0 (IQR: 86–242), $126 (IQR: 82–192) and $14 (IQR: 19–80), respectively. At the provincial hospital OOPs were higher during routine visits, but three fold lower during hospitalization than in the central hospital ($21.0 versus $18.5 and $110.8 versus $329.8 respectively (pConclusion
PLWHA’s households face catastrophic OOPs that are not directly attributable to the cost of ART or to follow-up tests, particularly during a hospitalization period. Transporta

许可

CC BY 4.0

引用

学术使用请引用 DOI 10.1371/journal.pone.0136664（source: https://plos.figshare.com/articles/dataset/_Evidence_of_High_Out_of_Pocket_Spending_for_HIV_Care_Leading_to_Catastrophic_Expenditure_for_Affected_Patients_in_Lao_People_s_Democratic_Republic_/1532464）。