脊髓损伤住院病人的医疗和非医疗费用调查分析

目的调查脊髓损伤住院病人的医疗和非医疗费用的支付情况及其主要影响因素.对损伤后疾病负担做出基本估计,为残疾预防,促进与维护健康提供有价值的参考依据.方法以1998-2001年脊髓损伤康复科出院患者的原始资料为依据,自行设计费用调查问卷.资料应用SPSS完成.结果111例脊髓损伤住院病人医疗费用占总费用占58.03%,非医疗费用占41.97%.康复训练费用仅占医疗费用的12.86%.脊髓不完全性损伤费用多,康复治疗效果明显,患者的期望值高,因此住院时间较长.费用来源于公费、肇事责任方的患者平均住院日及费用无明显差异,自费患者住院天数、医疗费用明显减少.在脊髓损伤后非医疗费用中,陪护费占34.26%.结论遏止交通事故,工业伤害,减轻社会的总体负担;要逐步降低康复医院的药品费用的比重,提高康复训练中技术服务价值:应将脊髓损伤纳入重大疾病预防控制工作.

An Investigation of Hospital Charges of Patients with Spinal Cord Injury

Objective This retrospective study was to investigate the hospital cost of patients with spinal cord injury and the main relative factors which increased the costs. Methods The successive patients admitted to department of rehabilitation in China rehabilitation research center from 1998 to 2001 were investigated with a questionnaire method. Results 111 cases had been included in the study. The cost of medical was 58.03% of the total charges, and the non-medical cost 41.97%. The cost of rehabilitation therapy was 12.86% of the cost of medical. The associate care cost 34.26% of the non-medical cost. The increased costs of patients with incomplete spinal cord injury were associated with longer rehabilitation hospitalization for better rehabilitation outcomes. There was no statistical difference in time of staying in hospital and hospital charges between the patients sustained by their companies and that by those who caused the accidence. The time of staying in hospital and hospital charges of the patients sustained by individual less than that of the two former groups. Conclusion The spinal cord injury greatly challenges the socio-economic outcome .The results showed that traffic accidents played an important role in medical assurances, and reducing these will save money for our society.