摘要
目的了解脑卒中患者康复住院费用情况及主要影响因素,为合理控制医疗费用和医疗保险支付方式改革提出建议。方法收集江苏省某医院和江苏省某老年医院2004年10月—2009年5月出院的脑卒中患者康复住院病例894例,采用描述性分析、Kruskal-WallisH检验和多元线性逐步回归方法进行分析。结果脑卒中患者康复住院平均费用为(10185.18±8277.50)元,住院费用构成比最高的是治疗费(46.43%),其次是西药费(29.04%)、床位费(15.06%)。多元回归分析显示:住院天数,职业,入院时日常生活活动能力(ADL)分值,工作状况,并发症个数,年龄是影响脑卒中患者康复住院费用的主要因素(P<0.05)。结论脑卒中患者康复住院医疗费用中治疗费用最高,合理缩短住院天数、建立以功能为基础的医疗保险支付方式是控制脑卒中患者康复住院费用的有效途径。
Objective To study the hospitalization costs for rehabilitation and its main influencing factors in stroke patients so as to provide suggestions on the reasonable control of medical expenses and reform of the medical insurance payment mode. Methods Totally 894 stroke patients discharged from The People＇s Hospital of Jiangsu Province and Jiangsu Geriatrics Hospital from October 2004 to May 2009 were collected. The descriptive analysis, Kruskal - Wallis H test, and muhinomial tinear regression analysis were applied for analysis. Results The average cost of hospitalization rehabilitation for stroke patients was RMB （10 185. 18 ± 8 277.50） Yuan, The highest constituent ratio in hospitalization cost was for treatment （46. 43% ）, followed by western drug cost （29.04%） and bed fee （ 15.06% ）. The multinomial regression analysis showed that the main factors influencing the hospitalization cost were hospitalization days, occupation, ADL score on admission, working condition, number of complications, and age （ P 〈 0.05 ）. Conclusion The treatment cost is highest in rehabilitation medical expenses for hospitalized stroke patients. Shortening hospital stay and establishing a function - based health insurance payment is an effective way to control the hospital costs of rehabilitation of stroke patients.
出处
《中国全科医学》
CAS
CSCD
北大核心
2010年第13期1453-1455,1458,共4页
Chinese General Practice
基金
教育部人文社会科学研究2005年度规划基金项目(05JA630008)
关键词
卒中
康复
住院费用
影响因素
Stroke
Rehabilitation
Hospitalization costs
Influencing factors
