广东省急性与慢性病毒性肝炎病人住院费用分析  

Analysis on the hospitalization expenses of the patients with acute and chronic viral hepatitis in Guangdong Province

作　　者：卢俊龙[1] 马起山[1] 邹宇华[1] 刘海平[1] 伍春霞[1] 麦杏意[1] 张顺祥[2] 贾卫东[3] 

机构地区：[1]广东药学院公共卫生学院,广东广州510310 [2]深圳市疾病预防控制中心传染病防制科,广东深圳518020 [3]广州市第八人民医院,广东广州510360

出　　处：《中华疾病控制杂志》2011年第8期705-707,共3页Chinese Journal of Disease Control & Prevention

基　　金：国家十一五科技重大专项(2008ZX10002-001)

摘　　要：目的对比分析广东省急性与慢性病毒性肝炎患者的住院费用及其影响因素,为减轻肝炎患者住院经济负担提供政策依据。方法采用多阶段分层随机抽样的方法选取广东省4所医院作为研究对象,收集2010年4~5月住院的312例病毒性肝炎患者的相关资料,了解其费用构成并采用多元逐步回归法分析住院费用的影响因素。结果广东省急性与慢性病毒性肝炎患者平均每次住院费用分别为13 272.78元、14 416.49元;药品费在住院费用中所占比例最大,分别为7 723.34元（58.2%）、8 235.20元（57.1%）;住院天数是肝炎患者住院费用的主要影响因素。结论控制药品费用增长及合理缩短住院天数是降低急性与慢性肝炎患者住院费用的重要途径。Objective To compare the hospitalization expenses of the patients with acute and chronic viral hepatitis in Guangdong Province,and analyze its impact factors,so as to provide the policy basis to reduce the economic burden of the hepatitis patients.Methods The relevant material of 312 patients with viral hepatitis who were in hospital from April to May 2010 were collected by muti-stage stratified random sampling,the composition of fees and affecting factors were analyzed by multivariate stepwise regression.Results The hospitalization expenses of the patients with acute and chronic viral hepatitis in Guangdong Province was $13 272.78 and $14 416.49 respectively.Among them,the medicine costs in hospitalization costs accounted for the largest proportion of the maximum,respectively were $7 723.34（58.2%）,$8 235.20（57.1%）.The hospitalization days were the main influencing factor of the hospitalization fee.Conclusions Controlling the increase of the costs of medicine and cutting down the invalid hospitalization is the major way to reduce hospitalization costs.

关 键 词：肝炎 病毒性 人 住院费用 因素分析 统计学 

分 类 号：R575.1[医药卫生—消化系统]