江苏省三级乙等医院肺结核患者住院费用分析  

Analysis of tuberculosis patients' hospitalization expenses of a middle first-class hospital in Jiangsu province

作　　者：陈民[1] 宋欢 王金龙 司进枚 胡鹏[1] 孙桂香 

机构地区：[1]沭阳县人民医院感染科,江苏沭阳223600 [2]徐州医科大学公共卫生学院,江苏徐州221004

出　　处：《现代预防医学》2017年第2期275-277,327,共4页Modern Preventive Medicine

摘　　要：目的分析某院2013-2015年肺结核患者住院费用,探讨其影响因素,为减轻肺结核患者经济负担提供参考。方法收集该院2013年10月-2015年12月间首要诊断为肺结核的住院患者的病案首页共543份,对其进行回顾性分析。结果该院2013-2015年肺结核患者住院费用的平均水平为6 420.61元,其中药品类费用占59.32%,诊断类费用占24.86%。相关性分析结果表明,住院天数与住院费用呈正相关,年龄因素与住院费用不相关。非参数检验结果显示不同痰镜检结果、合并疾病、出院情况以及付费方式的患者,其住院费用不同。多因素分析结果显示,在控制其他因素的情况下,不同出院情况的人群住院费用之间的差异无统计学意义。结论该院肺结核患者的住院费用低于同期其他地区医院,药品类费用所占比例较高,住院天数、痰镜检结果、合并疾病、付费方式等因素为肺结核患者住院费用的主要影响因素。建议医院对结核病种实施临床路径管理,减少无效住院天数,控制住院费用;同时注重防治合并疾病,做好预防保健工作。Objective The aim of this study was to provide a reference for tuberculosis patients to reduce the economic burden by analyzing the tuberculosis patients＂ hospitalization expenses in our hospital from 2013 to 2015 and discussing the influencing factors. Methods A total of 543 home pages of medical record of inpatients diagnosed with tuberculosis from October 2013 to December of 2015 were collected, and the data were retrospectively analyzed. Results The average expense of tuberculosis inpatients from 2013 to 2013 was 6420.61 yuan, in which, drug fees accounted for 59.32%, diagnosis fees accounted for 24.86%. Correlation analysis results showed a positive correlation between hospitalization expenses and hospitalization days. Age was not related to hospitalization expenses. Nonparametric test results showed that the patients with different sputum microscopy results, coexistent diseases, discharge conditions and payment methods had different hospitalization expenses. Conclusion The tuberculosis patients＂ hospitalization expenses within the same period in our hospital were lower than that in other hospitals. Drug expense accounted for a higher proportion, and the hospitalization days, sputum microscopy results, coexistent diseases, payment methods, discharge methods were the main influencing factors of tuberculosis patients＇ hospitalization expenses. It is suggested that the hospitals should implement the management of clinical pathway of TB, reduce ineffective hospitalization days, and control hospitalization expenses. At the same time, it is needed to pay attention to the prevention and treatment of coexistent diseases.

关 键 词：肺结核 住院费用 影响因素 

分 类 号：R521[医药卫生—内科学]