摘要
目的了解广东省病毒性肝炎患者住院费用构成,分析其影响因素,为合理控制医疗费用提供科学依据。方法收集2010年4-5月病毒性肝炎住院患者的病案资料,对不同型别肝炎的分布进行统计推断,并采用多元逐步回归法分析住院费用的影响因素。结果病毒性肝炎的次均住院费用为17 045.77元,其中戊型肝炎费用最高,为20 452.08元,其次为乙肝(20 047.24元)、丁肝(11 584.11元)、丙肝(9 158.56元),费用最低为甲肝(8 258.35元);药品费在住院费用中占最大比例,为57.5%(9 806.82元),其次为检查费19.9%(3 393.91元);住院天数、户口性质、支付方式、诊断分类均对住院费用均有影响。结论有效预防、合理缩短住院天数、控制药品费用可降低肝炎病人的住院费用。
Objective To analyze the component of hospitalization expense and its influencing factors among viral hepatitis patients in Guangdong and to provide the reference for the control of medical cost.Methods Medical records of 431 viral hepatitis patients hospitalized from April to July,2010 were collected and analyzed with descriptive method and multiple stepwise regression analyses.Results The average hospitalization cost per person for the patients was 17 045.77 RMB yuan,with highest cost of 20 452.35 yuan for hepatitis A.The cost of the medicine accounted for 57.5%（9 806.82 yuan） of the total hospitalization cost and the fee of medical examination accounted for 19.9%（3 393.91 yuan） of the total cost.The munber of day of hospitalization,the registered residence,the mode of payment,and the diagnostic classification had significant impacts on the medical expense.Conclusion Effective prevention of viral hepatitis,reducing the munber of days of hospitalization reasonably,and controlling the cost of drug are effective means to reduce the economic burden of viral hepatitis patients.
出处
《中国公共卫生》
CAS
CSCD
北大核心
2012年第2期135-136,共2页
Chinese Journal of Public Health
基金
国家"十一五"科技重大专项(2008ZX10002-001)
关键词
病毒性肝炎
住院费用
影响因素
viral hepatitis
hospitalization cost
influence factor
