宁夏某三甲医院2型糖尿病住院费用及其影响因素研究  

Hospitalization Expenses of Patients with Type 2 Diabetes and their Influencing Factors

作　　者：张彦杰[1] 施超[1] 马立旭[1] 王楠[1] 李瑾[1] 

机构地区：[1]宁夏回族自治区人民医院//北方民族大学教学合作医院,宁夏银川750001

出　　处：《现代医院》2017年第5期670-672,共3页Modern Hospitals

摘　　要：目的对2型糖尿病患者住院费用构成及变化进行实证分析,探索差异及相关影响因素,为医院及相关部门控制医疗费用、合理布置医疗资源、进一步优化制度设计提供决策依据。方法对宁夏某三甲医院2013—2016年连续收治的2型糖尿病患者的病例信息进行整理分类,通过描述性统计、方差分析及回归分析对住院费用及其影响因素进行综合分析。结果住院费用构成中药品费、检查费比重过高;性别、住院天数、年龄和糖尿病并发症是影响2型糖尿病患者住院费用的主要因素。结论住院费用构成不合理,需要进一步优化。应通过规范治疗行为,缩短住院时间,加强宣传教育、预防和随访工作,扩大医疗保障覆盖范围和水平等措施来有效的控制2型糖尿病患者住院费用,合理利用医疗卫生资源。Objective To conduct an empirical analysis of constitutes and changes of type 2 diabetes patients’ hospi-talization expenses and find out the differences and influencing factors so as to provide hospitals and related departments with the decision basis of controlling medical costs, arranging medical resources and optimizing systems. Methods Information of type 2 diabetes patients who had been admitted to a certain first - class grade one hospital in Ningxia from 2013 to 2016 were collected and categorized. Hospitalization costs and influencing factors of the patients were comprehensively analyzed through descriptive statistics, variance analysis and regression analysis. Results The medicine and examination costs as the consti-tutes of hospitalization expenses were too high. Gender, length of stay, age and diabetic complications were main contributory factors of type 2 diabetes patients？ hospitalization expenses. Conclusion The costs of hospitalization of patients with type 2 diabetes are unreasonable and need to optimize. Type 2 diabetes patients？ hospitalization expenses should be effectively con-trolled and medical resources should be reasonably used through standardizing treatment behavior, shortening length of stay, intensifying publicity and education, enhancing prevention and reinforcing follow - ups, expanding health insurance coverage and upgrading its level.

关 键 词：2型糖尿病 住院费用 影响因素 

分 类 号：R197.322[医药卫生—卫生事业管理]