摘要
目的了解山东省肺结核病人住院费用,探讨其影响因素,为有效减轻结核病人经济负担提供参考。方法采用分层整群随机抽样,共调查山东省六县区肺结核住院病人182人。对其住院费用进行描述性分析,利用通径分析方法探讨其影响因素。结果2007年山东省肺结核病人一次住院费用人均5878.46元,中位数为4000元。通径分析结果表明住院日、经济状况、费别、文化程度对住院费用有直接影响,年龄、入院原因通过影响住院日而对住院费用有间接影响,医院类型对住院费用既有直接影响,又有间接影响。结论增加肺结核病人的经济补偿,巩固县级结防机构在结核病防治体系中的核心地位,规范其他结防机构和医疗机构的结核病住院费用标准,利于减轻结核病人经济负担。
Objective To offer references for lightening the tuberculosis （TB） patients＇ economic burden by investigating the hospital costs of TB patients and exploring its determinants in Shandong province. Methods Stratified-cluster-random sampling was used and 182 TB inpatients were investigated. The data were analyzed by descriptive analysis and path analysis. Results The average hospital cost per case for once was 5878.46 yuan and the median was 4000 yuan in 2007. The path analysis demonstrated hospital days, economic status, nature of expense and education had direct effects on inpatient cost,years and the reason for hospitalization had indirect effects on cost by influencing hospital days, and hospital types had both direct and indirect effects. Conclusion In order to lighten TB patients＇economic burden,it＇s suggested to improve the TB patients＇ economic compensation,to persist in taking the district-baseA TB institution as the center of TB prevention and treatment system and to control the hospitalization charging on TB in other TB institutions or hospitals.
出处
《中国卫生统计》
CSCD
北大核心
2009年第1期26-28,共3页
Chinese Journal of Health Statistics
基金
中国疾病预防控制中心结核病预防控制中心全球基金项目实施性研究课题(编号:TB07-034)成果
关键词
肺结核
住院费用
影响因素
通径分析
tuberculosis
inpatient cost
determinants
path analysis
