| 青藏高原地区泡型包虫病患者住院费用影响因素分析 |
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| 引用本文： | 邵军,王志鑫,阳丹才让,任利,候立朝,周瀛,王海久,樊海宁,王虎.青藏高原地区泡型包虫病患者住院费用影响因素分析[J].中华疾病控制杂志,2018,22(2):168-172. |
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| 作者姓名： | 邵军 王志鑫 阳丹才让 任利 候立朝 周瀛 王海久 樊海宁 王虎 |
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| 作者单位： | 1. 青海大学附属医院肝胆胰外科, 青海 西宁 810000; |
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| 基金项目： | 青海省科技厅项目（2017-ZJ-Y32）；青海省卫计委推广课题（2016-WJtg-04） |
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| 摘 要： | 目的 分析泡型包虫病（alveolar echinococcosis，AE）患者住院费用变化趋势及其主要影响因素，为AE的综合防治及控制住院费用提供参考依据。方法 收集2004年4月~2016年1月青海省两家三甲医院收治的肝AE患者的临床及住院费用相关资料，并采用多因素Logistic回归法分析住院费用的影响因素。结果 收集AE患者300例，其中男性132例（44.0%），女性168例（56.0%），平均年龄为（38.87±13.62）岁。藏族病例为225例（75.0%），住院天数中位数为15（1~102） d，总住院费用的中位数为14 115.25（361.20~187 670.60）元，其中西药费占36.0%、诊断费占20.0%、耗材费占19.0%、治疗费占13.0%。多因素Logistic回归分析发现:住院天数、手术与否、付费方式及有无合并疾病是影响住院费用的主要因素，差异均具有统计学意义（均有P<0.05）。结论 近年来，AE住院费用呈逐年上升趋势，合并其他诊断、治疗方式及付费方式均是患者住院费用的影响因素，因此选择合适的治疗方式、制定合理的单病种管理措施等可能是控制住院费用的必要措施。
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| 关 键 词： | 住院 费用控制 棘球蚴病 危险因素 |
| 收稿时间： | 2017-05-26 |
Analysis of influencing factors on hospitalization expenditures of patients with alveolar echinococcosis in Qinghai-Tibet Plateau |
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| Affiliation: | 1. Department of Hepatobiliary and Pancreatic Surgery, Affiliated Hospital of Qinghai University, Xining 810001, China;2. Qinghai Province Key Laboratory of Hydatid Disease Researsh, Xining 810001, China;3. Qinghai Province Health & Family Planning Commission, Xining 810000, China |
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| Abstract: | Objective To analyze the fluctuations and main influencing factors of hospitalization expenditures of patients with alveolar echinococcosis(AE), and to provide reference for comprehensive treatment of alveolar echinococcosis. Methods Based on the hospital information system of two 3A grade hospitals in Qinghai Province from 2004 April to 2016 January, multiwarite Logistic analysis was used to analyze the influencing factors of hospitalization expenditures. Results The total 300 cases of AE patients, including 132 cases of male (44.0%), and 168 cases were female (56.0%); the average age was(38.87±13.62)years old; Tibetan 225 cases (75.0%);the median hospitalization days were 15 (1-102) days, the median total hospitalization expenses of 14 115.25 (361.20-187 670.60) yuan.The medicine costs accounted for 36.0%, the diagnosis costs accounted for 20.0%, supplies costs accounted for 19.0% and the cost of treatment accounted for 13.0%. The binary Logistic regression analysis showed that hospitalization days, surgery or not, payment terms and combined disease were the main factors affecting hospitalization expenses and the difference was statistically significant (all P<0.05). Conclusions In recent years, the cost of hospitalization of alveolar echinococcosis increased day by day. Having other diagnoses, treatment methods and payment terms are influencing factors of hospitalization expenditures, so the choice of appropriate treatment, the development of reasonable single disease management measures to control hospitalization expenses. |
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