安徽省某医院2012-2016年冠心病患者PCI手术住院费用分析  

Analysis of hospitalization costs among CHD patients undergoing PCI in a hospital of Anhui province during 2012-2016

作　　者：祝芳芳 余平[1] 严光 ZHU Fang-fang;YU Ping;YAN Guang(Audit Office, Affiliated Provincial Hospital of Anhui Medical University, Hefei, Anhui, 230001, China)

机构地区：[1]安徽医科大学附属省立医院审计处,安徽合肥230001 [2]安徽省心血管病研究所

出　　处：《心血管康复医学杂志》2018年第6期654-658,共5页Chinese Journal of Cardiovascular Rehabilitation Medicine

基　　金："十二五"国家科技支撑项目(2011BAI11B01)~~

摘　　要：目的:分析近年冠心病(CHD)经皮冠脉介入治疗(PCI)手术患者住院费用情况及其影响因素。方法:收集2012-2016年安徽省某家三甲医院冠心病PCI手术患者住院费用数据,统计分析住院费用的变化情况和影响因素。结果:行PCI手术的CHD住院患者人数呈现逐年上升趋势。自2012年起至2016年,次均检查费逐年上升(2012与2013年比较除外),次均药费、次均床位费及其他费用(2013和2014年比较除外)、次均住院时间逐年下降(2012与2013年比较,2014与2015年比较除外),两两比较有显著差异,P<0.05或<0.01。全公费参保的患者次均住院费用最高。男性组仅次均药费[5368.66 (3831.01,7974.22)元比5045.16 (3721.97,7308.26)元]显著高于女性组(P=0.019)。50～70岁组次均治疗费[(36351.63 (27925.86,47714.41)元比34622.20(27296.66,46504.87)元]显著高于≤50岁组,P=0.024;与≤50岁组和50～70岁组比较,>70岁组各项费用均显著升高,P<0.05或<0.01。与住院时间≤7d组比较,7～14d组和>14d组各项费用均显著升高,且>14d组的显著高于7～14d组的,P均=0.001。多元线性回归分析显示住院时间是冠心病PCI患者住院费用的独立危险因素(β=0.461,P=0.001),而参保方式是其独立保护因素(β=-0.078,P=0.001)。结论:冠心病PCI手术患者住院费用经济负担仍较重,需提高疗效,减少住院时间,减轻患者经济负担。Objective:To analyze hospitalization cost of patients with coronary heart disease(CHD)undergoing percutaneous coronary intervention(PCI)in recent years and its influencing factors.Methods:Hospitalization cost data of CHD patients undergoing PCI in a hospital of Anhui province from2012to2016were collected.Changes of hospitalization costs and its influencing factors were statistically analyzed.Results:Number of hospitalized CHD patients undergoing PCI gradually rose year by year.From2012to2016,there was significant rise in mean examination fee per time(except2012vs.2013),significant reductions in mean medicine fee per time,mean bed fee and other fees(except2013vs.2014)and mean hospitalization duration per time(except2012vs.2013,2014vs.2015),P<0.05or<0.01.Patients with full public insurance possessed the highest mean hospitalization fee per time.Mean medicine fee per time of male group was significantly higher than that of female group[5368.66(3831.01,7974.22)RMB vs.5045.16(3721.97,7308.26)RMB],P=0.019.Mean treatment fee per time of50~70years group was significantly higher than that of≤50years group[(36351.63(27925.86,47714.41)RMB vs.34622.20(27296.66,46504.87)RMB],P=0.024;compared with≤50years group and50~70years group,there were significant rise in all fees in>70years group,P<0.05or<0.01.Compared with hospitalization≤7d group,there were significant rise in all fees in7~14d group and>14d group,and those of>14d group were significantly higher than those of7~14d group,P=0.001all.Multifactor linear regression analysis indicated that hospitalization duration was independent risk factor for hospitalization fee of CHD patients undergoing PCI(β=0.461,P=0.001),while insurance way was its independent protective factor(β=-0.078,P=0.001).Conclusion:Economic burden of CHD inpatients undergoing PCI is still heavy,we must improve theraputic effect,reduce hospital stays,in order to reduce patients′economic burden.

关 键 词：冠心病 血管成形术 气囊 冠状动脉 费用 医疗 

分 类 号：R541.4[医药卫生—心血管疾病]