四川省老年慢性病患者住院费用构成及影响因素分析  

Analysis on hospitalization cost compositions and influence factors of elderly patients with chronic diseases in Sichuan province

作　　者：黄茂娟[1] 潘敏[1] 吴颖敏[1] 张媚[1] 周莲姿 

机构地区：[1]成都中医药大学,成都611137 [2]四川大学华西第二医院规划财务部,成都610041

出　　处：《卫生软科学》2017年第1期15-19,共5页Soft Science of Health

基　　金：四川省教育厅"四川医院管理和发展研究中心"项目(SCYG2015-2-05)

摘　　要：[目的]分析四川省六类老年慢性疾病患者住院费用构成情况及影响因素,为减轻老年慢性疾病患者住院经济负担提供建议。[方法]通过文献研究了解我国老年慢性病患病状况,对性别、年龄等进行描述性分析,平均住院日和次均住院费用采取单因素分析,住院费用影响因素采用回归分析。[结果]老年慢性病患者次均住院费用是6656.59元,平均住院日是9.92d;各年龄组的次均住院费用和平均住院日差异均有统计学意义。老年慢性病患者住院费用中平均药占比为39.32%,平均检查治疗费占比为35.41%。除老年性白内障外,其余五类慢性病的药占比几乎都超过40%。除年龄外,疾病类型、医院性质、医院所在地区、医院等级、医保付费方式、性别和住院天数等多因素共同影响住院费用。[结论]平均住院日越长,住院费用越高。慢性病患者住院费用主要构成部分是药品费和检查治疗费,药品费占比几乎达40%以上。疾病类型、医院性质、住院天数等多种因素共同影响慢性病患者住院费用。Objective Analysis of six types of hospitalization cost compositions and influence factors of elderly patients with chronic diseases inSichuan province so as to reduce economic burden for elderly patients with chronic diseases. Methods Understood the status of the elderly chron-ic illnesses in China through literature research. Descriptively analyzed gender and age. It analyzed hospitalization cost influence factors by re-gression analysis. Results The times hospitalization expense of elderly chronic diseases was 6656. 59 yuan, average hospitalization day was9. 92. There was significant difference in time hospitalization expense and average hospitalization day. Average medicine of hospitalization ex-pense accounted for 39.32% in elderly patients with chronic diseases, average check treatment accounted for 35.41%. Except senile cataract,the rest of the 5 kinds of chronic diseases＇ medicine accounted for more than 40%. These factors like disease types, nature of the hospital, hos-pital place, hospital grade, medical insurance payment mode, gender and hospitalization day influenced hospitalization expense except age.Conclusions The longer hospitalization day, the higher hospitalization expense was. Main part of hospitalization expense of elderly chronic dis-eases was drug and check treatment cost, drug accounted for almost 40%. Disease types, nature of the hospital and hospitalization day influ-ence hospitalization expense of patients with chronic diseases.

关 键 词：住院费用 影响因素 老年人 慢性病 

分 类 号：R197.3[医药卫生—卫生事业管理]