摘要
目的:了解甲型H1N1流感(甲流)患者的住院费用及构成情况,探讨住院费用的影响因素。方法:运用广义线性回归模型进行多因素分析。结果:调查甲流病例183例,其人均和日均住院费用分别为6 905.36元、1 088.02元;药费占总费用构成的57.09%。多因素分析结果显示:孕妇、死亡的患者平均花费相对较高,住院天数越长,病情越严重,年龄越大,住院花费越多,病情与付费方式、病情与基础疾病对住院费用的影响有显著的交互作用。结论:住院天数、病情、疾病转归、处于妊娠期和年龄是影响甲流住院费用的重要因素;缩短住院天数、减少重症和死亡病例的发生,可有效减少病人住院费用负担。
Objective: To determine the medical costs and its constitution associated with hospitalization for influenza A H1N1, and explore influencing factors of the medical costs. Methods: The data collected were analyzed by generalized linear model. Results: 183 patients' data were available in the study. The medical costs were 6 905.36 RMB/case and 1 088.02 RMB/day/case; drug costs made up the greatest proportion(57.09%). Multiple factor analysis showed that the medical costs were significantly affected by prolonged days of hospitalization, severe symptoms and signs, the older, pregnancy and death. Conclusions: The factors, including days of hospitalization, severity of disease, prognosis of disease, pregnancy and age, had a significant influence on hospitalization costs.
出处
《中国卫生经济》
北大核心
2012年第7期34-36,共3页
Chinese Health Economics
基金
山东省科学技术发展计划资金项目(2009GG10002054)
关键词
甲型H1N1流感
住院费用
影响因素
Influenza A H1N1
hospitalization costs
influencing factor