摘要
目的分析白血病患儿住院费用构成情况并探讨其影响因素,为合理控制医疗费用的增长及减轻患者经济负担提供参考依据。方法收集郑州大学附属儿童医院2015-2018年入院的白血病患儿的病例资料及住院费用信息,对住院费用进行统计描述,进行单因素分析和多重线性回归分析探讨其影响因素。结果共收集4883例白血病患儿病例,患儿次均住院费用中位数为9565.34元,日均住院费用中位数为847.98元。患儿住院费用结构中,排名前三位的分别是药费、化验费、治疗费,各占45.32%、17.18%和10.32%。患儿的住院天数、有无输血、是否医院感染、是否手术、有无并发症及医保类型是影响白血病患儿住院费用的主要因素(P<0.05)。结论白血病患儿的日均住院费用上涨较快,药费在住院费用中占比较高。通过控制患儿住院天数、减少输血次数、严格控制医院感染的发生、合理检查等措施能够降低患儿的住院费用,减轻患儿家庭的经济负担。
Objective To analyze the structure of hospitalization expenses for children with leukemia,and explore the influencing factors of hospitalization expenses so as to provide a reference for rational control of medical expenses and reduce the economic burden of patients.Methods The case data and hospitalization cost information of children with leukemia who were admitted to a children’s hospital from 2015 to 2018 were collected,and the hospitalization cost was statistically described.Univariate analysis and multiple linear regression analysis were conducted to explore the influencing factors.Results A total of 4883 children’s cases with leukemia were collected,and the median hospitalization cost per admission was 9565.34 yuan,and the median daily hospitalization cost was 847.98 yuan.In the hospitalization cost structure of children,the top three were drug cost,laboratory cost and treatment cost,accounting for 45.32%,17.18%and 10.32%.The hospitalization cost of children with leukemia was mainly influenced by the length of stay,blood transfusion,nosocomial infection,operation,complication,and medical insurance type(P<0.05).Conclusion The average daily hospitalization cost of children with leukemia increased rapidly,and the proportion of medicine cost was relatively high.By controlling the hospitalization days of children,reducing the frequency of blood transfusion,strictly controlling the occurrence of nosocomial infection,reasonable examination and other measures,the hospitalization cost of children and the economic burden of children’s families can be reduced.
作者
王玉英
王娜
王俊
WANG Yuying;WANG Na;WANG Jun(Children's Hospital Affiliated to Zhengzhou University,Zhengzhou Children's Hospital,Zhengzhou,Henan 450018,China)
出处
《河南预防医学杂志》
2021年第12期906-910,共5页
Henan Journal of Preventive Medicine
基金
河南省医学科技攻关计划联合共建项目(2018020608,LHGJ20190960)
关键词
白血病
住院费用
影响因素
河南省
Leukemia
Hospital expenses
Influence factor
Henan province
