五种常见老年慢性疾病住院医疗费用调查分析

目的探讨五种常见老年慢性疾病医疗费用负担情况,从而探索控制老年慢性疾病患者医疗费用的方法。方法运用2015年至2016年某三甲医院住院几种常见慢性病老年人住院费用调查的数据,选取相关指标,对几种常见老年慢性病的医疗费用负担的水平进行描述和比较分析。结果调查研究显示老年人慢性疾病中高血压患者比例最高,调查对象中患1种慢性病比例最高,高血压住院总费用最高,脑梗塞住院日均费用最高。在两种合并慢性疾病中,高血压合并脑梗塞住院费用最高,脑梗塞合并慢性阻塞性肺疾患者均费用、日均费用最高;在三种合并慢性疾病中,高血压合并糖尿病、脑梗塞住院费用最高。高血压合并冠心病、脑梗塞人均费用、日均费用最高;在四种合并慢性疾病中,高血压合并冠心病、慢性阻塞性肺疾病、脑梗塞人均费用、日均费用最高,高血压合并糖尿病、冠心病、脑梗塞住院费用最高。五种常见老年慢性疾病住院费用主要集中在10000~50000元区间。住院医疗费用在10000~50000元区间的医疗费用占总医疗费用比例最高。结论为控制老年慢性疾病患者医疗费用,首先应控制高血压医疗费用,做好高血压预防保健工作,减少老年高血压心脑血管疾病发病率,减少老年患者住院率,从而减少老年慢性患者住院医疗费用。同时要加强对老年疾病尤其是慢性病的防治,走预防为主的道路。

Investigation and Analysis of Hospitalization Expenses of Five Common Senile Chronic Diseases

Objective To explore the medical expenditure burden of five kinds of senile chronic diseases,so as to explore the methods to control the medical expenses of elderly patients with chronic diseases. Methods We used the data on hospitalization costs for elderly people with several common chronic diseases from a three first-class hospital between 2015 to 2016,selected related indicators,and described and compared the levels of medical costs for several common chronic diseases. Results The investigation showed that the proportion of hypertension among the elderly chronic diseases was the highest,subjects who had1 kindof chronic diseaseshad the highest proportion,the total hospitalization expenses of hypertension was the highest,and the median daily cost of inpatient brain infarction was highest. Of the two associated chronic diseases,the highest cost of hospitalization was hypertension complicated with cerebral infarction,and the per capita cost and average daily cost of cerebral infarction complicated with chronic obstructive pulmonary disease was the highest; Of the three associated chronic diseases,hospitalization expenses of hypertension complicated with diabetes mellitus,and cerebral infarction was highest; Of the four associated chronic diseases,the per capita cost and the average daily cost of hypertension complicated with coronary heart disease,chronic obstructive pulmonary disease,and cerebral infarction was highest,the hospitalization costs of high blood pressure complicated with diabetes,coronary heart disease,and cerebral infarction was highest.The hospitalization expenses of five common elderly chronic diseases mainly concentrated in the 10000 ~ 50000 yuan range,which accounted for the highest proportion of total medical expenses. Conclusion In order to control the medical expenses of elderly patients with chronic diseases,first of all,we need to control hypertension medical expenses,do a good job of hypertension prevention and health care,reduce the incidence of cardiovascular and cerebrovascular disease in elderly hypertensive patients,and reduce the hospitalizedrate of elderly patients,so as to reduce the hospitalization expenses of senile chronic diseases patients.At the same time,we should strengthen the prevention and treatment of senile diseases,especially chronic diseases,and take the road of prevention as the main road.