2型糖尿病不同亚型住院费用分析  

Hospitalization cost analysis of patients with different type Ⅱ diabetes mellitus subtypes

作　　者：刘丽华[1] 胡凯[2] 金水高[3] 刘建超[1] 

机构地区：[1]解放军总医院医院管理研究所,北京100853 [2]中国医学科学院,北京100730 [3]中国疾病预防控制中心,北京100530

出　　处：《军医进修学院学报》2011年第6期663-666,共4页Academic Journal of Pla Postgraduate Medical School

基　　金：国家自然科学基金面上项目(30771868)~~

摘　　要：目的通过对2型糖尿病不同亚型病人住院费用的分析,探索其差异和影响因素,为掌握该疾病的诊疗费用水平、控制费用增长提供参考。方法收集某医院2008年7月-2010年2月间连续收治的2型糖尿病病例信息,按照国际疾病分类第10次修订本(ICD-10)的亚型编码进行病例分组,对住院费用进行统计描述,并进行差异分析与影响因素分析。结果共采集1 344份2型糖尿病病例,分为7个亚型组;分析结果表明次均费用为(0.88±0.63)万元,最高为8.92万元,最低为0.14万元,中位数为0.72万元;费用中以药品与化验费比例最高(30.99%,30.83%);多因素分析结果表明2型糖尿病分型、住院天数、年龄、费别是影响住院费用的主要因素。结论 2型糖尿病不同亚型病人间住院费用差别很大,对2型糖尿病住院经济负担研究、付费标准制订、诊疗费用控制以及诊疗成本的经济学评价,应分别针对不同亚型进行具体分析。Objective To study the diagnosis and treatment cost of patients with different type Ⅱ diabetes mellitus（DM） subtypes and provide the reference for its control by analyzing its difference and influencing factors.Methods Data about type Ⅱ DM patients admitted to a certain hospital in July 2008-February 2010 were collected.The patients were divided into different groups according to the International Classification of Diseases（ICD-10）.Hospitalization cost of the patients was statistically described with its difference and influencing factors analyzed.Results Type 2 DM was divided into 7 subtypes in 1 344 cases.The mean cost of each hospitalization time was（8.84±6.34） thousand Yuan,with a highest cost of 89.21 thousand Yuan and a lowest cost of 1.43 thousand Yuan（mean 0.72 thousand Yuan）.The fee of drugs and laboratory tests accounted for 30.99% and 30.83%,respectively.Multivariate analysis showed that type 2 DM subtypes,hospitalization time（days） and age of patients,and types of fee were the influencing factors for hospitalization cost.Conclusion The hospitalization cost is significantly different for patients with different type Ⅱ DM subtypes.Economic burden study,formulation of payment standards,control of diagnosis and treatment cost,and economic evaluation of cost should be analyzed for patients with different type Ⅱ DM subtypes.

关 键 词：2型糖尿病 住院费用 影响因素 

分 类 号：R191[医药卫生—卫生事业管理]