新疆棘球蚴病外科救助患者住院及相关费用影响因素分析  

Analysis of influencing factors for hospitalization and related expenses for hydatid patients receiving surgical treatment in Xinjiang

作　　者：齐新红[1] 李波霖[1] 殷雪峰[1] 蔡焱[1] 段新宇[1] 林仁勇[1] 卢晓梅[1] 温浩[1] QI Xin-hong;LI Bo-lin;YIN Xue-feng;CAI Yan;DUAN Xin-yu;LIN Ren-yong;LU Xiao-mei;WEN Hao(The First Affiliated Hospital of Xinjiang Medical University, Urumuqi 830054, Chin)

机构地区：[1]新疆医科大学第一附属医院,乌鲁木齐830054

出　　处：《中国寄生虫学与寄生虫病杂志》2018年第2期196-198,共3页Chinese Journal of Parasitology and Parasitic Diseases

基　　金：省部共建国家重点实验室培育基地-新疆重大疾病医学重点实验室开放课题(No.SKLIB-XJMDR-2014-1);新疆医科大学人文社科基金(No.2015XYDSK05)~~

摘　　要：为了解新疆棘球蚴病患者的疾病负担,计算2014-2016年新疆棘球蚴病外科治疗定点医院救治的棘球蚴病手术患者住院及其相关费用,用t检验和方差分析进行连续变量的单因素分析,logistic回归分析患者住院及其相关费用的影响因素。结果共调查棘球蚴病外科救助项目手术患者1 448例,年总费用为80 407 344.75元,人均总费用为55 529.93元,中位数为44 740.47元。其中,住院费用为68 803 195.92元,人均费用为47 516.02元,中位数为36 652.37元;相关费用为11 604 148.83元,人均费用为8 013.91元,中位数为7 787.82元。单因素分析结果显示,有无医疗保险和住院天数是患者住院及其相关费用的影响因素。Logistic回归分析结果显示,有无医疗保险和住院天数是患者住院及其相关费用的主要影响因素(t=5.302、4.569,P<0.05)。建议可采取调整项目补助金额、提高医保报销比例、开展临床路径管理等措施,减轻患者住院及其相关费用的支出。To understand the hydatid disease burden in Xinjiang, hospitalization and related expenses for hydatid surgical patients treated at the designated hospital in Xinjiang from 2014 to 2016 were described. Univariate analysis of continuous variables was performed with t test and variance analysis of influencing factors for hospitalization and related expenses was performed with logistic regression analysis. A total of 1 448 patients with hydatid disease who received surgical treatment were investigated. The annual total expense, the average cost per person and the median was 80 407 344.75 yuan, 55 529.93 yuan and 44 740.47 yuan, and which of hospitalization expense was 68 803 195.92 yuan, 47 516.02 yuan and 36 652.37 yuan, and which of related expense was 11 604 148.83 yuan, 8 013.91 yuan and 7 787.82 yuan. Univariate analysis showed that medical insurance and the length of hospital stay were influencing factors for hospitalization and related expenses. Logistic regression analysis showed that medical insurance and the length of hospital stay were the main influencing factors for hospitalization and related expenses（t = 5.302, 4.569, P〈0.05）. Therefore, measures need to be taken to reduce the burden of this disease in patients, such as making adjustment on financial subsidy on diseases, increasing the health insurance reimbursement, and carrying out management of clinical pathway.

关 键 词：棘球蚴病 住院及相关费用 影响因素 

分 类 号：R532.32[医药卫生—内科学]