2013年广西冠心病经济负担及其住院费用影响因素分析

发布时间：2018-06-02 06:42

本文选题：冠心病 + 经济负担　；参考：《广西医科大学》2017年硕士论文

【摘要】：目的:分析2013年广西冠心病的经济负担及其住院费用的影响因素,为卫生行政部门制定相关卫生政策提供依据。方法:(1)收集2013年广西冠心病住院患者的病案信息,测算冠心病住院费用,采用多重线性回归分析住院费用的影响因素。(2)通过冠心病经济负担问卷调查,测算2013年冠心病的门诊费用、直接非医疗经济负担、亲属间接经济负担。(3)通过全球疾病负担(GBD)获取2013年中国冠心病性别年龄别YLD、YLL、DALY和2013年中国性别年龄别期望寿命,运用伤残调整生命年(DALY)结合人力资本法测算患者间接经济负担。结果:(1)2013年广西冠心病住院患者共31107例,男性18906例,女性12201例,男女比例为1.55:1,平均年龄67.44±12.57岁,平均住院天数为6天,手术治疗的患者占29.39%。(2)2013年广西冠心病患者总住院费用4.06亿元,例均住院费用为6150.73元,其中手术患者例均住院费用为1.74万元,非手术患者的为4800.92元。以医用材料费、西药费所占比重较大,分别为33.98%、20.51%。(3)2013年广西冠心病总经济负担为9.60亿元,住院费用、门诊费用、直接非医疗经济负担、患者间接经济负担、亲属间接经济负担分别为4.06亿元、0.09亿元、0.03亿元、5.26亿元、0.16亿元。(4)多重线性回归结果显示,性别、年龄、婚姻状况、付费方式、手术、住院天数、合并其他疾病是冠心病住院费用的影响因素。手术和住院天数是主要的影响因素。结论:(1)2013年广西冠心病经济负担相对沉重。(2)2013年广西冠心病的例均住院费用相对其他病种处于中等水平;冠心病手术患者的例均住院费用高于非手术患者。(3)手术和住院天数是冠心病住院费用的主要影响因素。
[Abstract]:Objective: to analyze the economic burden of coronary heart disease and the influencing factors of hospitalization cost in Guangxi in 2013 so as to provide basis for health administration department to formulate relevant health policies. Methods: 1) collect the medical record information of inpatients with coronary heart disease in Guangxi in 2013, calculate the hospitalization cost of coronary heart disease, and use multiple linear regression analysis to analyze the influencing factors of hospitalization expenses. The outpatient cost of coronary heart disease in 2013, the direct non-medical financial burden, the indirect economic burden of relatives, and the global disease burden GBD) were used to obtain the gender and age specific life expectancy of Chinese coronary heart disease in 2013 and 2013, respectively. The indirect economic burden of patients was calculated by using DALY and human capital method. Results in 2013, there were 31107 inpatients with coronary heart disease in Guangxi, 18906 males and 12201 females. The ratio of male to female was 1.55: 1, the average age was 67.44 卤12.57 years old, the average hospitalization time was 6 days. The total hospitalization cost of coronary heart disease patients in Guangxi was 406 million yuan in 2013. The average hospitalization cost was 6150.73 yuan, including 17400 yuan for the patients with operation and 4800.92 yuan for the patients without operation. In 2013, the total economic burden of coronary heart disease in Guangxi was 960 million yuan, hospital expenses, outpatient expenses, direct non-medical economic burdens, indirect economic burdens of patients, and so on. The indirect economic burden of relatives was 406 million yuan, 9 million yuan, 3 million yuan, 526 million yuan, 16 million yuan respectively) multiple linear regression results showed that sex, age, marital status, payment method, operation, hospital stay, Associated with other diseases is the impact of coronary heart disease hospitalization costs. Operation and hospital stay were the main influencing factors. Conclusion (1) the economic burden of coronary heart disease in Guangxi is relatively heavy in 2013. (2) the average hospitalization cost of coronary heart disease in Guangxi in 2013 is at the medium level compared with other diseases. The average hospitalization cost of the patients with coronary heart disease was higher than that of the patients without coronary heart disease (3) the operation and hospitalization days were the main factors influencing the hospitalization cost of coronary heart disease.
【学位授予单位】：广西医科大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R541.4

【参考文献】