肾移植术后泌尿道感染患者的经济负担分析

发布时间：2018-03-01 01:16

本文关键词： 肾移植术后患者泌尿道感染经济负担　出处：《中国卫生经济》2014年01期 　论文类型：期刊论文

【摘要】：目的:分析肾移植术后患者发生泌尿道感染所造成的经济负担,为卫生行政部门制定政策提供科学依据。方法:采用整群抽样的方法,对某三甲医院2008年1月1日至2012年12月31日所有入住器官移植科进行肾移植手术并符合纳入标准的患者共339例进行研究。采用病例对照研究的方法,将肾移植术后发生泌尿道感染的80例患者作为感染组,同期未发生医院感染的259例患者作为对照组,比较两组患者的住院费用及住院天数差异。结果:感染组患者住院费用高于对照组,两者中位数差值为23 307元,差异有统计学意义(P0.01)。在感染组患者的各项住院费用中,增加最多的是治疗费和西药费,其次为化验费。感染组和对照组住院费用中构成比占最多的均为西药费和治疗费。感染组患者较对照组患者延长住院天数6天,差异具有统计学意义(P0.05)。结论:肾移植术后患者发生泌尿道感染后经济负担较重,造成了患者、医院和国家医疗资源的浪费,因此应减少肾移植术后患者泌尿道感染的发生率,节约有限的医疗资源。
[Abstract]:Objective: to analyze the economic burden caused by urinary tract infection in patients after renal transplantation, and to provide scientific basis for health administration department to make policies. A case-control study was conducted in 339 patients who were admitted to the Department of Organ Transplantation from January 1st 2008 to December 31st 2012 in a third Class Hospital and met the inclusion criteria. 80 patients with urinary tract infection after renal transplantation were treated as infection group, while 259 patients without nosocomial infection were used as control group. Results: the hospitalization cost of the patients in the infection group was higher than that in the control group, the median difference between the two groups was 23,307 yuan, and the difference was statistically significant (P 0.01). The most significant increase was in the cost of treatment and western medicine, followed by the cost of laboratory tests. The proportion of hospitalization expenses in the infection group and the control group was the highest, and the cost of western medicine and treatment was the highest. The patients in the infection group were longer in hospital than those in the control group by 6 days. The difference was statistically significant (P 0.05). Conclusion: the economic burden of urinary tract infection after renal transplantation is heavy, which results in the waste of patients, hospitals and national medical resources, so the incidence of urinary tract infection should be reduced after renal transplantation. Save limited medical resources.
【作者单位】：山东大学齐鲁医院感染管理科;
【基金】：山东省济南市高校院所自主创新计划(项目编号201102069)
【分类号】：R699.2

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