参保精神分裂症患者住院费用及影响因素分析

目的了解天津市参保精神分裂症患者住院费用构成及其影响因素,为控制住院费用提供参考依据。方法从天津市2003-2007年参保住院患者资料库中随机抽取精神分裂症患者18 182例,对其住院费用情况进行回顾性分析。结果天津市2003-2007年参保精神分裂症患者人均住院费用为(3 014.59±745.31)元;其中一级医院为(1 986.94±538.79)元;二级医院为(2 181.92±503.85)元;三级医院为(3 861.22±738.29)元;参保精神分裂症患者的住院费用中床位费、药品费、检查费、治疗费、材料费和其他费用依次占15.41%、5.04%、22.60%、52.37%、0.27%和4.31%。多元线性回归分析结果表明,年龄大、医院级别高、住院天数多、治疗费和材料费比重大,精神分裂症患者住院费用越高;曾住院次数多的患者住院费用越低。结论年龄、医院级别、住院天数、曾住院次数、治疗费和材料费比重是天津市参保精神分裂症患者住院费用的主要影响因素。

Hospitalization expenses and its influential factors among schizophrenic patients with medical insurance

Objective To explore the hospitalization expenses and its influential factors in schizophrenic inpatients in Tianjin city and to provide evidence for the control of hospitalization cost.Methods A total of 18 182 schizophrenic inpatients with medical insurance from 2003 to 2007 were selected randomly from a hospitalization database and the medical expenses and influencing factors among the patients were analyzed.Results The average total cost for one schizophrenic inpatient were 3014.59±745.31,1 986.94±538.79,2 181.92±503.85,and 3 861.22±738.29 RMB yuan for hospitalization in any hospital,in the hospital of first,second and third grade.The fee of treatment,test,berth,drugs,other,and material accounted for 52.37%,22.60%,15.41%,5.04%,4.31%,and 0.27% of all hospitalization expense,respectively.The results of multi-regression analysis showed that there were positive correlations between age,admission days,grade of the hospital,proportion of treatment fee,material fee and hospitalization expenses.And negative correlations were found between former admission time,berth fee,others fees,and hospitalization expense.Conclusion Age,grade of the hospital,admission days,former admission time,the proportion of treatment,and material fee are key factors for the cost of hospitalization expenses for insured schizophrenic inpatients in Tianjin city.