循环系统疾病住院高费用影响因素分析  

Analysis of the Factors Influencing the Hospitalization Costs of Patients with Circulation System Disease

作　　者：钱丽娟[1] 鲁晓蕾 胡耀[2] 李春漾 QIAN Lijuan;LU Xiaolei;LI Chunyang(Information Department,Karamay Central Hospital of Xinjiang,Karamay,834000,China)

机构地区：[1]克拉玛依市中心医院信息科,新疆克拉玛依834000 [2]四川大学华西医院华西生物医学大数据中心,四川成都610041

出　　处：《中国社会医学杂志》2020年第6期641-644,共4页Chinese Journal of Social Medicine

基　　金：四川省科技厅科技支撑计划项目(2016FZ0108);克拉玛依市科技计划项目(2017HZ006A)。

摘　　要：目的分析循环系统疾病患者医疗费用构成情况,以期为合理控制医疗费用提供依据。方法采用回顾性调查方法对新疆维吾尔自治区某市某三甲医院2012年7月—2018年8月的病案首页数据进行分析,利用描述性统计、单因素卡方检验及Logistic多因素回归的统计方法分析循环系统疾病费用分布情况及影响高额费用的因素。结果循环系统疾病患者中男性多于女性,男性与女性患者人次分别为12849人次和7359人次,且男性次均费用高于女性;发病年龄集中于老龄段,62.03%的患者为60岁以上。针对循环系统高额费用的分析结果发现,循环系统疾病的高额费用与性别(P<0.001,OR=0.72)、年龄(P<0.001,OR=1.02)、是否有手术(P<0.001,OR=14.78)、是否合并感染(P<0.001,OR=5.88)、是否有并发症(P<0.001,OR=4.62)、是否为动脉瘤(P<0.001,OR=2.91)及是否患有心肌梗死(P<0.001,OR=2.96)7个因素显著相关。结论循环系统疾病高额费用的产生与多个因素显著相关,应针对影响因素进行合理管控,在一定程度上可以控制医疗费用的不合理增长,降低患者经济负担。Objective The aim of this study was to investigate the hospitalization expenses of patients with circulation system disease,and analyze the significant factors associated with high expenses of circulation disease.The results could provide suggestions on costs control and medical decision-making.Methods Medical records from 2012.7 to 2018.8 in one city in Xinjiang Uygur Autonomous Region were analyzed by using SPSS 25 software,and descriptive statistics,chi-square test and logistic regression were performed.Results There were more male patients than female patients with circulation diseases,with 12849 male patients and 7359 female patients respectively.The avera-ge cost per time for men is higher than that for women,and the onset age was concentrated in the elderly group,of which 62.03%were over 60 years old.Gender(P<0.001,OR=0.72),age(P<0.001,OR=1.02),surgery(P<0.001,OR=14.78),whether having complication and comorbidity(P<0.001,OR=4.62),whether having infections(P<0.001,OR=5.88),whether having arterial aneurysm(P<0.001,OR=2.91)and whether having myocardial infarction(P<0.001,OR=2.96)were the seven key factors significantly involved with high expense.Conclusion Circulation disease closely relates with many different influencing factors.Reasonable control of the influencing factors should be carried out,which could decrease the unreasonable growth of medical expenses and reduce the economic burden of patients.

关 键 词：循环系统疾病 费用分析 LOGISTIC回归 费用控制 

分 类 号：R54[医药卫生—心血管疾病]