摘要
目的:了解高血压病患者住院费用的构成及影响因素。方法:用整群抽样和回顾性研究方法调查某医院所有高血压病住院患者的病案首页资料。结果:1 441例高血压病患者的资料被收集,人均住院费用(中位数)为3 951.12元。西药费、检查费、化验费和材料费为收费较高项目,占总费用的82.76%;而诊疗费、护理费和手术费等费用所占总费用仅为7.40%。多元线性回归分析显示住院天数对住院费用的影响最大,其次是手术情况和住院科室;其他影响因素有入院病情程度、年龄、性别、有无并发症和医疗保险类型等(P均<0.05)。结论:医疗服务收费过低与西药费、检查费、化验费和材料费等费用过高密切相关;控制合理住院日,是住院医疗费用控制的关键;中医治疗能较好地降低高血压病患者住院医疗费。
Objective： To understand the hospitalization expense proportions of patients with hypertension and its influencing factors. Methods： Retrospective survey and cluster sampling were used to analyze the data in the first page of the medical records among all hospitalized patients with hypertension in a hospital.Results： Data of 1 441 patients were gathered,whose median hospitalization expenses was $ 3 951. 12.Western medicine,inspection,laboratory and materials were higher charged items,accounting for 82.76%of the total expenses; while the expenses of treatment,nursing and operation fees accounted for only7.40% of the total. Linear regression analysis with multi-factors indicated that the most important determinants were hospitalization days,followed by surgery status and hospitalized department; the other factors were severity of illness when admitted,age,sex,complications,and types of health insurances（P〈0.05 in all factors）. Conclusion： Low service fee is closely related to the high cost of western medicine,inspection,laboratory and materials used. The key to controlling the hospitalization expenses is to have reasonable hospital stays. And treatment with traditional Chinese medicine may be effective to reduce the hospitalization fees of patients with hypertension.
出处
《华夏医学》
CAS
2017年第2期40-44,共5页
Acta Medicinae Sinica
基金
国家自然科学基金资助项目(81260446)
关键词
住院费用
高血压病患者
构成
影响因素
三甲医院
hospitalization expenses
patients with hypertension
determinants
proportions
class A tertiary hospital
