摘要
目的分析10年间白血病患者住院治疗费用的变化及影响因素。方法以兰州大学第一医院血液科为本次研究的调查点,摘录2003年1月1日至2012年12月31日住院治疗的1241例初发白血病患者的病案记录资料(包括重复入院的病例记录)进行统计分析。结果儿童白血病次均住院费用逐年增加(rs=0.800,P<0.05);成人白血病平均住院日逐年降低(rs=-0.824,P<0.05),而日均住院费用逐年增加(rs=0.647,P<0.05)。白血病住院费用各单项费用中,位于前三位的分别为药费、诊断费、治疗费。白血病住院治疗费用直接影响因素按大小排列主要为:住院日、患者类型、药费所占比例、首次发病年份、白血病类型及住院次数。结论儿童白血病患者直接经济负担在逐年加重;药费成为白血病医疗负担的主要来源,应针对可控因素,合理配置资源,减少浪费。
Objective To analyze the changes of hospitalization costs and influencing factors in hospitalized patients with leukemia for a decade. Methods Make the first hospital of lanzhou university hematology as the survey points, and excerpt medical record information of 1241 cases of hospitalization patients with newly diagnosed leukemia from January 1st 2003 to December 31th 2012 （including repeated admission cases） for statistical analysis. Results The hospital costs of children patients with leukemia were increased every year. The average length of stay of adult patients with leukemia were reduced, while the average daily hospital costs were increased every year. In the individual hospital costs, the top three were drugs, diagnostic costs and treatment costs respectively. The hospitalization expenses’ direct effect order were hospitalization days, patients’ type, drug proportion, disease’ type and hospitalization time. Conclusion The direct economic burden of children patients with leukemia were increased year by year. Drugs were the major source of medical burden with leukemia, and should focus on controllable factors, allocate the resources rationally and reduce waste.
出处
《中国卫生信息管理杂志》
2015年第3期308-314,共7页
Chinese Journal of Health Informatics and Management
基金
兰州大学医学科研项目(项目编号:LZUYX200811)
