摘要
目的:探究皮肤病专科医院内银屑病患者住院费用的影响因素及其关系路径,为科学控制银屑病患者住院费用、减轻患者疾病经济负担提供理论和现实依据。方法:收集2015年—2019年广东省某大型三级皮肤病专科医院所有出院第一诊断为银屑病的住院患者病案首页数据进行描述性分析,并采用通径分析方法研究其影响因素。结果:是否医保、病例分型、住院天数会直接影响总费用,且影响效应大小依次为住院天数、是否医保、病例分型;年龄、是否医保、是否合并症、是否手术、是否院感、是否月内再住院、是否使用抗菌药物、病例分型、是否临床路径均可通过作用于住院天数,间接影响患者总费用。结论:控制银屑病患者住院费用合理化应在不影响医疗质量的前提下加强对患者住院天数、是否医保、病例分型等影响因素的干预,以达到综合管理、科学控制住院费用的效果,最大程度降低银屑病患者疾病经济负担,改善民生。
Objective:To investigate the factors influencing the hospitalization cost of psoriasis patients within a dermatology specialized hospital and their relationship paths,so as to provide a theoretical and practical basis for scientifically controlling the hospitalization cost of psoriasis patients and reducing their economic burden of disease.Method:All inpatient case data of inpatients discharged with the first diagnosis of psoriasis from a certainlarge tertiary dermatology specialty hospital in Guangdong Province from2015 to 2019 were collected for descriptive analysis,and the influencing factors were investigated by means of through-path analysis.Result:Whether or not medical insurance,case typing,and days of hospitalization directly affected total costs,and the effect sizes were in the order of days of hospitalization,whether or not medical insurance,and case typing;age,whether or not medical insurance,whether or not comorbidities,whether or not surgery,whether or not hospitalization,whether or not rehospitalization within a month,whether or not antimicrobial drugs were used,case typing,and whether or not clinical pathways could indirectly affect total patient costs by acting on days of hospitalization.Conclusion:The rationalization of controlling the hospitalization cost of psoriasis patients should strengthen the intervention of influencing factors such as the number of days of patients’hospitalization,whether they are medically insured or not,and case typing without affecting medical quality,so as to achieve the effect of comprehensive management and scientific control of hospitalization cost,minimize the economic burden of psoriasis patients’diseases and improve people’s livelihood.
作者
林金雄
于瑶
申树群
LIN Jinxiong;YU Yao;SHEN Shuqun(Medical Department,Dermatology Hospital,Southern Medical University,Guangdong Provincial Dermatology Hos-pital,Guangzhou,Guangdong,510091;School of Health Services Management,Southern Medical University,Guang-zhou,Guangdong,510515)
出处
《江苏卫生事业管理》
2022年第8期1066-1069,1072,共5页
Jiangsu Health System Management
基金
2021年度南皮-华润三九联合实验室华润顺峰基金项目(HR202109)。
关键词
银屑病
住院费用
影响因素
通径分析
Psoriasis
Hospitalization Cost
Influencing Factors
Path Analysis
