2008-2014年广州地区8所大型综合性医院老年人群急性呼吸道感染住院状况与直接经济负担分析

发布时间：2018-05-11 18:18

本文选题：老年人 + 急性呼吸道感染　；参考：《现代预防医学》2017年04期

【摘要】：目的分析广州8所大型综合医院2008-2014年老年人群急性呼吸道感染(ARI)住院状况及其直接经济负担。方法整群抽取广州8间大型综合性医院2008-2014年住院的老年ARI病例14 308例,分析流行特征及直接经济负担。结果老年ARI住院病例数占住院病例总数比例由2.8%(1 278/45 921)增至4.0%(3 032/75 695)(χ2=221.757,P0.001)。肺炎比例最大[72.6%(10 390/14 308)]。贴现后,人均住院费用由2008年的8 623.0元增至2014年的10 402.9元,年均增长率为3.5%。药费所占比例最大[40.5%(3 948.3/9 754.5)]。化验费由16.7%(1 442.6/8 623.0)增至30.2%(3 146.8/10 402.9)(χ2=1 339.00,P0.001)。放射费由2.1%(177.8/8 623.0)增至5.9%(611.8/10 402.9)(χ2=265.542,P0.001)。结论广州老年ARI住院病例占住院病例总数比例呈上升趋势,以肺炎为主,住院费用日益加重,药费所占比例最大,放射费、化验费呈现较快增长趋势。
[Abstract]:Objective to analyze the hospitalization status and direct economic burden of acute respiratory tract infection (ARI) among the elderly in 8 large general hospitals in Guangzhou from 2008 to 2014. Methods 14 308 elderly ARI cases were collected from 8 large general hospitals in Guangzhou from 2008 to 2014. The epidemic characteristics and direct economic burden were analyzed. Results the proportion of inpatients with ARI in elderly patients increased from 2.28 / 1278 / 45 / 921 to 4.0 / 3032 / 75.695n (蠂 ~ 2 / 2 = 221.757 / P 0.001). The pneumonia rate is highest [72.6% 10 390 / 14 308]. After discount, the per capita hospitalization cost increased from 8 623.0 yuan in 2008 to 10 402.9 yuan in 2014, with an average annual growth rate of 3.5 yuan. The proportion of drug expenses is the largest [40.5% / 3 948.3 / 9 754.5]. The cost of laboratory tests increased from 16.7% to 30.2% from 1,442.6 / 8,623.0 to 3146.8 / 10 402.9% (蠂 ~ 2 / 1 339.00 / P 0.001). The radiation charge increased from 2.1 to 5.9 from 177.8 / 8,623.0) to 611.8 / 10 402.9m (蠂 ~ 2 / 265.542 / P 0.001). Conclusion the proportion of inpatients with ARI in Guangzhou is on the rise, with pneumonia as the main factor, the cost of hospitalization is increasing day by day, the proportion of drug expenses is the largest, and the cost of radiation and laboratory examination is increasing rapidly.
【作者单位】：广州疾病预防控制中心;广东药学院;
【基金】：广州市医学重点学科建设项目(2017-2019-07) 广东省医学科研基金项目(A2015036) 广州市医药卫生科技项目(20141A011050)
【分类号】：R56

【相似文献】