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1型糖尿病患者住院费用及影响因素分析 被引量:6

Analysis on the Hospitalization Expense of Type 1 Diabetes Patients and Its Influencing Factors
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摘要 目的了解1型糖尿病患者住院费用构成情况及影响因素,为有效控制糖尿病医疗费用提供参考。方法从2003-2007年天津市城市居民基本医疗保险数据库中抽取1型糖尿病的全部病例,按年份从中随机抽取15%的病例,共收集有效病例737例,采用统计描述、秩和检验和多元逐步回归等统计方法进行分析。结果 1型糖尿病患者平均住院费用为8473.23元,中位数为6432.12元,药费所占比重最大(56.27%),其次为检查费(17.35%)。住院天数、医院类别、药费比例、并发症数目是糖尿病患者住院费用的主要影响因素。结论 1型糖尿病患者住院费用构成不尽合理,缩短住院时间,合理控制用药和医疗检查,提高医疗保险监管力度,是控制糖尿病医疗费用的有效途径。 Objective To investigate the structure of the hospitalization expenses of type 1 diabetes patients and to provide reference for controlling the medical expense effectively. Methods 15% of cases of type 1 diabetes per year were randomly selected from Tianjin residents' medical insurance database during 2003 to 2007, 737 qualified cases were collected. Descriptive analysis, Kruskal-Wallis H Test and muhinomial linear regression analysis were used. Results The mean of medical expenses of type 1 diabetes patients were 8 473.23 yuan, the median were 6 432.12 yuan. 56.27% and 17.35% of the total expenses were attributed to medication and examinations, respectively. The major influencing factors were days of hospitalization, grade of hospitals, proportion of medication fees, and numbers of complications. Conclusions Curtailing hospitalization duration, reducing medication and examination fees rationally, improving the supervision mechanism of health care system may be the effective ways to ease the financial burden of inpatients with diabetes mellitus.
出处 《中国慢性病预防与控制》 CAS 2012年第3期274-276,共3页 Chinese Journal of Prevention and Control of Chronic Diseases
关键词 糖尿病 1型 住院费用 影响因素 Diabetes milletus, type 1 Hospitalization expense Influencing factors
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