某综合医院慢性病患者住院费用构成及影响因素分析

目的：分析慢性病患者住院费用及其影响因素，为控制慢性病住院费用提供依据。方法：收集安徽省某综合医院2014年全年慢性病住院患者病案信息，对患者的住院费用及其影响因素进行统计分析。结果：慢性病患者的次均住院费用、药品费用、检查费用、化验费用分别为8 207.5元、3 442.5元、1 275.0元、1 057.5元；高血压、糖尿病、椎间盘疾病患者的次均住院费用分别为5 929.2元、10 384.1元、8 900.2元，其中药品费用占住院费用的比重依次为33.9%、47.4%、34.9%；住院天数与住院费用之间存在正相关；年龄、住院天数和疾病类型是住院费用的影响因素。结论：慢性病患者住院费用较高，经济负担较重；糖尿病患者住院费用最高，药品费用占比最大；椎间盘疾病患者住院天数最长；老年人为慢性病高危人群。

Analysis on the composition and influencing factors of hospitalization expenses of chronic patients in a general hospital

Objective: To analyze the hospitalization expenses and its influencing factors of chronic patients and provide the basis for controlling the hospitalization expenses. Methods: We collected the medical data of hospitalized chronic patients from a general hospital in Anhui Province in 2014, SPSS 18.0 was used to describe the hospitalization expenses and analyze the influencing factors. Results: The average hospitalization expenses, drug expenses, inspection expenses and laboratory expenses of chronic patients were 8 207.5 yuan, 3 442.5 yuan, 1 275.0 yuan and 1 057.5 yuan, respectively. For hypertension, diabetes and intervertebral disk disease, the average hospitalization expenses were 5 929.2 yuan, 10 384.1 yuan and 8 900.2 yuan, respectively; the proportion of drug expenses to hospitalization expenses were 33.9%, 47.4% and 34.9%, respectively. There was a positive correlation between hospitalization days and hospitalization expenses. Age, hospitalization days and type of disease were factors of hospitalization expenses. Conclusion: The hospitalization expense of chronic patients was high and the economic burden was heavy. The hospitalization expenses and proportion of drug expenses of diabetics were the highest. The hospitalization duration of intervertebral disk disease patients was the longest. The elderly were high risk groups for chronic diseases.