基于大量数据的北京市冠心病患者费用研究
发布时间：2018-07-26 08:09
【摘要】：目的:以北京市37家三级医院冠心病患者为研究对象,深入了解冠心病费用现状以及影响因素,探讨费用合理区间,为疾病费用管理和控制提供参考。方法:采用方差分析、多元线性回归、决策树等方法。结果:(1)冠心病门诊和住院患者的平均年龄分别为65.23岁和67.47岁。(2)冠心病门诊患者次均费用为598.60元,其中药品费用占比为85.21%。(3)冠心病患者平均住院费用为25,422.06元,平均住院床日为8.35床日,费用主要以卫生材料费和药品费为主,合计占比超过70%。(4)住院天数、患者年龄、就诊医院、合并症以及并发症数目、性别是影响急性心肌梗死患者住院费用的主要因素。(5)以急性心肌梗死为例,构建决策树分组模型,最终分为13个病例组,各组间费用差异具有统计学意义。结论:加大冠心病防治力度,控制冠心病年轻化趋势。药品和卫生材料费是冠心病患者疾病负担的主要来源。需要通过缩短住院天数,重视疾病预防,推进临床路径管理等手段控制冠心病费用的过快增长。
[Abstract]:Objective: to investigate the current situation and influencing factors of coronary heart disease (CHD) in 37 tertiary hospitals in Beijing, to explore the reasonable cost range, and to provide reference for disease cost management and control. Methods: ANOVA, multiple linear regression and decision tree were used. Results: (1) the average age of outpatients and inpatients were 65.23 years old and 67.47 years old respectively. (2) the average cost of outpatients with coronary heart disease was 598.60 yuan, of which the proportion of drug cost was 85.21 yuan. (3) the average hospitalization cost of patients with coronary heart disease was 25422.06 yuan. The average hospitalization bed days were 8.35 bed days, and the expenses were mainly health materials and drugs, accounting for more than 70.1% of the total. (4) the days of hospitalization, the age of patients, the number of hospitals, the number of complications, and the number of complications. Sex is the main factor affecting the hospitalization cost of patients with acute myocardial infarction. (5) taking acute myocardial infarction as an example, a decision tree grouping model was constructed and finally divided into 13 case groups. Conclusion: strengthen the prevention and treatment of coronary heart disease, control the trend of younger coronary heart disease. The cost of medicine and health materials is the main source of disease burden in patients with coronary heart disease. The cost of coronary heart disease should be controlled by shortening hospitalization days, paying attention to disease prevention and promoting clinical path management.
【作者单位】： 北京中医药大学基础医学院;中国中医科学院广安门医院;北京中医药大学管理学院;
【基金】：国家中医药管理局重点学科“中医药管理学”资助项目(2013-ZDXKKF-17)
【分类号】：R197.323;R541.4
本文编号：2145394
[Abstract]:Objective: to investigate the current situation and influencing factors of coronary heart disease (CHD) in 37 tertiary hospitals in Beijing, to explore the reasonable cost range, and to provide reference for disease cost management and control. Methods: ANOVA, multiple linear regression and decision tree were used. Results: (1) the average age of outpatients and inpatients were 65.23 years old and 67.47 years old respectively. (2) the average cost of outpatients with coronary heart disease was 598.60 yuan, of which the proportion of drug cost was 85.21 yuan. (3) the average hospitalization cost of patients with coronary heart disease was 25422.06 yuan. The average hospitalization bed days were 8.35 bed days, and the expenses were mainly health materials and drugs, accounting for more than 70.1% of the total. (4) the days of hospitalization, the age of patients, the number of hospitals, the number of complications, and the number of complications. Sex is the main factor affecting the hospitalization cost of patients with acute myocardial infarction. (5) taking acute myocardial infarction as an example, a decision tree grouping model was constructed and finally divided into 13 case groups. Conclusion: strengthen the prevention and treatment of coronary heart disease, control the trend of younger coronary heart disease. The cost of medicine and health materials is the main source of disease burden in patients with coronary heart disease. The cost of coronary heart disease should be controlled by shortening hospitalization days, paying attention to disease prevention and promoting clinical path management.
【作者单位】： 北京中医药大学基础医学院;中国中医科学院广安门医院;北京中医药大学管理学院;
【基金】：国家中医药管理局重点学科“中医药管理学”资助项目(2013-ZDXKKF-17)
【分类号】：R197.323;R541.4
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，本文编号：2145394
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