四川大学华西医院内分泌代谢科2011年下丘脑-垂体-肾上腺／性腺疾病住院患者费用调查

目的 调查四川大学华西医院内分泌代谢科2011年下丘脑-垂体-肾上腺/性腺疾病住院患者的疾病负担情况，为进一步研究提供基线数据。方法 从住院HIS系统中提取2011年1月1日～2011年12月31日自四川大学华西医院内分泌代谢科出院或转他科诊治后出院的住院病例资料，内容包括住院患者基本信息、出院首诊断、住院费用及是否在院登记医保等。根据国际疾病分类（ICD-10）标准，对病案首页的各项诊断进行疾病分类，采用Excel 2010软件整理数据，并运用SPSS 13.0软件进行统计分析。结果 ① 2011年该院内分泌代谢科住院患者中首诊断为下丘脑-垂体-肾上腺/性腺疾病住院患者病例352人次，男性139例，女性213例，平均年龄42.9±15.0岁；② 中位住院天数11天，人次中位住院总费用4 361.09元，以化验费、检查费、西药费居多。结论 下丘脑-垂体-肾上腺/性腺疾病是三甲医院内分泌代谢科的重要病种，其住院费用以化验费、检查费及西药费为主。

Survey on Financial Burden of In-patients with Hypothalamus-Pituitary-Adrenal Gland/Gonad Diseases in Department of Endocrinology and Metabolism of West China Hospital in 2011

Objective To investigate financial burden of in-patients with hypothalamus-pituitary-adrenal gland/gonad diseases in the West China Hospital of Sichuan University, 2011, so as to provide baseline data for further research. Methods The data of in-patients （who had been discharged from the department of endocrinology and metabolism or discharged after being transferred to other departments for diagnosis and treatment in the West China Hospital in 2011） were collected from the Hospital Information System （HIS） of the West China Hospital, including basic information, initial diagnosis when the patients were discharged, hospital costs, the information about whether the patients had been registered the insurance in hospital, etc. We classified diseases according to ICD-10 based on the initial diagnosis when the patients were discharged on the first page of case reports. The data were input using Excel 2010 software, and statistical analysis was performed using SPSS 13.0 software. Results The results showed that： in 2011, 352 person-times of in-patients with hypothalamus-pituitary-adrenal gland/gonad disease as first diagnosis were hospitalized in the department of endocrinology and metabolism, of which, 139 were male and 213 were female, with mean age of 42.9±15.0 years; and b） median hospital stay was 11 days, the average cost of hospital stay for each patient was RMB 4 361.09 yuan, most of which was for lab tests, examination, and biomedicine cost.
Conclusion Hypothalamus-pituitary-adrenal gland/gonad diseases are an important health problem in the department of endocrinology and metabolism in a Triple-A Hospital. Most of hospitalization costs are for lab tests, examination, and biomedicine cost.