摘要
目的:分析厦门市某三级综合医院慢阻肺患者住院费用及其影响因素,为优化慢阻肺患者的医疗服务管理提供依据。方法:收集厦门市某三级综合医院2019-2022年所有慢阻肺住院患者的病案首页数据,分析患者的基本信息、住院费用及其影响因素。所有数据采用描述性分析,单因素采用方差分析,多因素分析采用多重线性回归分析。结果:共纳入3430例慢阻肺住院患者,患者数从2019年的934例增至2022年的988例。其中,男性占比(87.00%)明显高于女性占比(13%);患有≥2种疾病者从914例(97.85%)增加至979例(99.09%)。2019-2022年,慢阻肺患者次均住院费用依次为1.70万元、1.48万元、1.42万元、1.44万元。不同住院天数、患病数量的患者住院费用差异有统计学意义(P<0.05),其中住院费用随住院天数、患病数量的增加而增加。结论:本研究中慢阻肺患者的数量、共病发生率整体呈递增趋势,住院费用的影响因素较多,主要影响因素为患者住院天数和患病数量。建议医院建立标准化的慢阻肺临床路径体系,从而缩短住院天数;推广肺功能检查,将慢阻肺患者的治疗战线前移至预防为主。
Objective:To analyze the hospitalization expenses of COPD patients and its influencing factorsat a certain tertiary general hospital in Xiamen,so as to provide reference for optimizing the medical service management of COPD patients.Methods:Medical record home page data of all COPD inpatients at a certaintertiary general hospital in Xiamen from 2019 to 2022 were retrieved.These data were used to analyze the basic information,hospitalization expenses and their influencing factors.Descriptive analysis was used for all data,variance analysis was used for one-way analysis,and multiple linear regression was used for all multivariate analysis.Results:A total of 3,430 inpatients were included in this study.The number of patients was increased from 934 in 2019 to 988 in 2022.Among them.The proportion of men(87.00%)is significantly higher than that of women(13%).The number of inpatients with≥2 diseases increased from 914(97.85%)to 979(99.09%).From 2019 to 2022,the average hospitalization expenses of COPD inpatients were 17,000 yuan,14,800 yuan,14,200 yuan and 14,400 yuan respectively.There are statistically significant differences in the hospitalization expenses of patients with different days of hospitalization and number of diseases.(P<0.05),and the hospitalization expenses increased with the the increase of hospitalization days and number of diseases.Conclusions:In this study,the number of COPD patients,the incidence of comorbidity showed an overall increasing trend,and the main influencing factors of hospitalization cost were hospitalization days and the number of diseases.The author suggested that the hospital establish a standardized COPD clinical pathway system to shorten the hospitalization days;The treatment of COPD patients should be shifted to prevention,and promote pulmonary function examination.
作者
吴美娜
蒋海彬
冯淑秀
柯海林
康宁
胡迈丹
WU Meina;JIANG Haibin;FENG Shuxiu;KE Hailin;KANG Ning;HU Maidan(Quality Control Department,The Second AffiliatedHospital Of Xiamen Medical College,361021;Quality Control Department,Gastrointestinal Surgery,The Second AffiliatedHospital Of Xiamen Medical College,361021;Quality Control Department,President’s Office,361021;Shulan International Medical College,Hangzhou,Zhejiang,310000)
出处
《江苏卫生事业管理》
2023年第8期1107-1110,共4页
Jiangsu Health System Management
基金
厦门市科学技术局自然科学基金项目(3502Z20227152)。
关键词
慢阻肺
病案首页
住院费用
影响因素
COPD
Medical Record Home Page
HospitalizationExpense
Influencing Factor
