江苏省三级乙等医院肺结核患者住院费用分析

发布时间：2018-07-28 19:10

【摘要】：目的分析某院2013-2015年肺结核患者住院费用,探讨其影响因素,为减轻肺结核患者经济负担提供参考。方法收集该院2013年10月-2015年12月间首要诊断为肺结核的住院患者的病案首页共543份,对其进行回顾性分析。结果该院2013-2015年肺结核患者住院费用的平均水平为6 420.61元,其中药品类费用占59.32%,诊断类费用占24.86%。相关性分析结果表明,住院天数与住院费用呈正相关,年龄因素与住院费用不相关。非参数检验结果显示不同痰镜检结果、合并疾病、出院情况以及付费方式的患者,其住院费用不同。多因素分析结果显示,在控制其他因素的情况下,不同出院情况的人群住院费用之间的差异无统计学意义。结论该院肺结核患者的住院费用低于同期其他地区医院,药品类费用所占比例较高,住院天数、痰镜检结果、合并疾病、付费方式等因素为肺结核患者住院费用的主要影响因素。建议医院对结核病种实施临床路径管理,减少无效住院天数,控制住院费用;同时注重防治合并疾病,做好预防保健工作。
[Abstract]:Objective to analyze the hospitalization expenses of pulmonary tuberculosis patients in a hospital from 2013 to 2015, and to explore the influencing factors, and to provide reference for alleviating the economic burden of pulmonary tuberculosis patients. Methods from October 2013 to December 2015, 543 medical records of inpatients with pulmonary tuberculosis were collected and analyzed retrospectively. Results the average hospitalization cost of pulmonary tuberculosis patients in the hospital from 2013 to 2015 was 6 420.61 yuan, of which the cost of drugs accounted for 59.32, and the cost of diagnosis was 24.86 yuan. The results of correlation analysis showed that there was a positive correlation between hospitalization days and hospitalization expenses, but no correlation between age factors and hospitalization expenses. The results of nonparametric examination showed that patients with different sputum microscopic examination, complicated diseases, discharge status and payment methods had different hospitalization costs. The results of multivariate analysis showed that there was no significant difference in hospitalization cost among different discharge patients under the control of other factors. Conclusion the hospitalization cost of pulmonary tuberculosis patients in this hospital is lower than that in other hospitals in the same period, the proportion of drug expenses is higher, the days of hospitalization, the results of sputum microscopy, and the complication of diseases. The factors such as payment method are the main factors influencing the hospitalization expenses of pulmonary tuberculosis patients. It is suggested that hospitals should implement clinical path management to tuberculosis species, reduce invalid hospitalization days, control hospitalization expenses, and pay attention to prevention and treatment of combined diseases, and do a good job of prevention and health care.
【作者单位】：沭阳县人民医院感染科;徐州医科大学公共卫生学院;
【分类号】：R521;R197.3

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