呼吸系统疾病住院费用与住院时间关联因素的影响程度分析

发布时间：2018-10-25 11:17

【摘要】：目的分析呼吸系统疾病住院费用与住院时间的影响因素以及各因素的影响程度,为合理控制住院费用与住院时间提供依据。方法收集四川省2015年287 528例呼吸系统疾病患者的病案首页数据,采用双反应变量多水平线性模型,分析住院费用和住院天数的影响因素。结果在所有与住院费用和时间有关联的变量中,民族、主要入院诊断临床未确定、其他医疗机构转入、无31 d再入院计划对两反应变量的影响程度无统计学差异(P0.05);性别、年龄、婚姻、住院期间是否病急、并发症严重程度、医院级别、经济区类型主要影响住院费用,而离院方式、住院次数、费用类别、门诊入院主要影响住院时间。结论虽然住院费用和住院时间密切相关,但各自受影响的程度却很不一致,提示在制定控制住院费用和住院时间的措施上应该有所区别。
[Abstract]:Objective to analyze the influencing factors of hospitalization cost and hospitalization time of respiratory system disease and the influence degree of each factor so as to provide the basis for reasonable control of hospitalization cost and hospitalization time. Methods the data of 287,528 patients with respiratory diseases in Sichuan province in 2015 were collected and the factors influencing the hospitalization cost and length of stay were analyzed by using a multilevel linear model with double response variables. Results among all the variables associated with hospitalization cost and time, there was no significant difference in the influence of ethnic group, major admission diagnosis, other medical institutions and no 31 day readmission plan on the two response variables (P0.05); gender, age, and age. Marriage, acute illness during hospitalization, severity of complications, hospital grade and type of economic zone mainly affect the hospitalization expenses, while the way of leaving hospital, the times of hospitalization, the type of expenses, and the hospitalization in outpatient department mainly affect the length of hospitalization. Conclusion although the cost of hospitalization is closely related to the length of hospitalization, the degree of influence is not consistent, which suggests that the measures to control the cost and duration of hospitalization should be different.
【作者单位】：四川大学华西公共卫生学院(华西第四医院);四川省卫生和计划生育信息中心;西部农村卫生发展研究中心;
【基金】：四川省省级科研院所成果转化项目(15010112) 美国中华医学基金会(CMB)项目12-106
【分类号】：R197.3;R56

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