引用本文:吕轶娟*,陶婉菊,梁启君.[cn_title][J].[journal_cn_name],2024,[volume]([issue]):86-90.[点击复制]
LV Yijuan*,TAO Wanju,LIANG Qijun.[en_title][J].[journal_en_name],2024,[volume]([issue]):86-90.[点击复制]
【打印本页】 【下载PDF全文】 查看/发表评论下载PDF阅读器关闭

←前一篇|后一篇→

过刊浏览    高级检索

本文已被:浏览 315次   下载 172 本文二维码信息
码上扫一扫!
1 248例呼吸系统疾病患者住院费用关联度分析△
吕轶娟*,陶婉菊,梁启君
0
(贵州中医药大学第一附属医院财务科;信息科)
摘要:
目的:分析呼吸系统疾病患者住院费用及影响因素,为优化医疗资源分布、减轻疾病直接经济负担提供参考依据。方法:收集贵州省某三甲医院呼吸内科2022年1 248例呼吸系统疾病患者信息,对住院费用构成进行逐步回归分析,并对费用影响因素进行K-W检验分析。结果:呼吸内科患者住院总费用的中位数为14 461.51元,其中呼吸衰竭患者住院总费用最高,中位数35 293.61元;急性上呼吸道感染费用最低;中位数3 788.63元;不同性别、年龄、住院天数、诊断、医保类型、出院情况的呼吸系统疾病者住院总费用的差异存在统计学意义(P < 0.05);对住院总费用影响最大的费用是西药费,其次是治疗费、检查费、护理费及材料费(P < 0.05)。结论:呼吸系统患者疾病住院费用带来的经济负担较重,应提高公众预防呼吸系统疾病的意识,可从实施临床路径管理、完善医保政策等方面合理控制疾病直接经济负担。
关键词:  呼吸系统疾病  住院费用  影响因素  贵州
DOI:
基金项目:贵阳市科技计划项目筑科合同[2019]9-2-40号
Correlation Analysis of Hospitalization Expenses of 1,248 Patients with Respiratory Disease in Guizhou Province△
LV Yijuan*,TAO Wanju,LIANG Qijun
(Department of Finance;Department of Information,The First Affiliated Hospital of Guizhou University of Traditional Chinese Medicine)
Abstract:
Objective:To analyze the hospitalization costs and influencing factors of patients with respiratory diseases,and to provide reference for optimizing the distribution of medical resources and reducing the direct economic burden of diseases. Method:The data of 1,248 patients with respiratory diseases in a certain Grade A tertiary hospital in Guizhou Province in 2022 were collected. The factors affecting the total hospitalization expenses were analyzed by Kruskal-Walli rank sum test,and the composition of expenses was analyzed by stepwise regression. Result:The median total hospital expenses of respiratory patients in a third class A hospital in Guizhou Province was 14 461.51 yuan. Among them,respiratory failure patients had the highest total hospitalization cost,with a median of 35 293.61 yuan,acute upper respiratory tract infection cost was the lowest,with a median of 3 788.63 yuan. There were statistically significant differences in the total hospitalization expenses of patients with respiratory diseases with different gender,age,length of stay,diagnosis,type of insurance insurance and discharge condition(P < 0.05). The expenses that had the greatest influence on the total hospitalization cost were western medicine cost,treatment cost,inspection cost,nursing cost and material cost(P < 0.05). Conclusion:The economic burden brought by hospitalization costs of respiratory system in Guizhou is relatively heavy. It is necessary to gradually raise the public awareness of preventing respiratory diseases,and reasonably control the direct economic burden of diseases from the aspects of implementing clinical pathway management and improving medical insurance policies.
Key words:  Disease of Respiratory System  Hospitalization Expenses  Influencing Factors  Guizhou Province

用微信扫一扫

用微信扫一扫