糖尿病病人住院费用的多元逐步回归分析  

Multiariate Stepwise Regression Analysis on Factors Affecting Hospitalization Cost for Diabetes Mellitus Treatment

作　　者：袁庆[1] 袁魁昌[2] 李清华 徐凌忠[1] 王兴洲[1] 宋培培[1] 宋晓飞[1] 

机构地区：[1]山东大学公共卫生学院,250012 [2]山东大学护理学院,250012 [3]School of Medicine and Dentistry,University of Rochester

出　　处：《中国卫生统计》2008年第4期360-362,共3页Chinese Journal of Health Statistics

基　　金：胜利石油管理局资助项目

摘　　要：目的揭示糖尿病病人住院费用的影响因素,为有效控制医疗费用提供参考。方法收集2002到2005年间在东营市胜利油田石油管理局中心医院和胜利医院住院的糖尿病病人268例,采用多元逐步回归分析方法对住院费用的可能影响因素进行筛选。结果糖尿病病人住院费用的主要影响因素是医院、年龄、住院天数、输液天数、有无保险和有无并发症,糖尿病病人住院日均费用的主要影响因素是医院、婚姻状况、住院天数、疗效、有无保险和有无并发症。结论有效控制糖尿病病人住院费用应以控制、缩短住院天数为突破口,通过医疗保险制度的改革,加强糖尿病的健康教育、强化医疗费用控制体系的作用来解决。Objective To analyze factors affecting hospitalization cost for diabetes mellitus and to provide reference for controlling the increment of medical cost. Methods 268 cases with diabetes mellitus treatment in two tertiary hospitals between 2002 and 2005 were selected into the sample. Stepwise regression was used to select possible factors may affecting diabetes mellitus treatment cost. Results The factors affecting the hospitalization cost of diabetes mellitus treatment are hospital, age, hospitalization duration, transfusion duration, insurance and complications. The factrors affecting average daily hospitalization cost are hospital, marital status, hospital ization duration, curative effect, insurance and complication. Conclusion The control of the increment of hospitalization cost may achieved by reducing hospitalization duration, reforming the medical insurance system, enhancing health education on diabetes and strengthening the effect of medical cost control system.

关 键 词：糖尿病病人 住院费用 多元逐步回归 

分 类 号：R587.1[医药卫生—内分泌]