基于区域卫生信息平台肺炎住院患者直接医疗费用分析  

Direct medical expenses analysis of pneumonia inpatients based on regional health information platform

作　　者：董莹[1] 许国章[1] 张良[1] 李宁[1] 林慧波 DONG Ying;XU Guo-zhang;ZHANG Liang;LI Ning;LIN Hui-bo(Office of Ningbo Center for Disease Control and Prevention,Ningbo 315010,P.R.China)

机构地区：[1]宁波市疾病预防控制中心办公室,浙江宁波315010

出　　处：《社区医学杂志》2020年第23期1621-1624,共4页Journal Of Community Medicine

基　　金：宁波市医疗卫生品牌学科(PPXK201810)。

摘　　要：目的肺炎是常见的呼吸系统疾病,本研究旨在了解肺炎住院患者直接医疗费用,为制定肺炎防控策略和降低患者负担提供参考依据。方法利用宁波市区域卫生信息平台,收集2015-01-01-2017-12-31宁波市二级以上医疗机构诊断为肺炎的住院患者基本信息、出入院时间和直接医疗费用等数据,建立数据库,进行统计分析。结果 2015-01-01-2017-12-31宁波市二级以上医疗机构肺炎住院患者共52 247人次,平均住院时间9.84d,次均费用6 035.51元,日均费用577.99元。不同等级医院平均住院时间(F=23.53,P<0.01)、次均住院费用(F=126.58,P<0.01)和日均住院费用(F=342.25,P<0.01)差异均有统计学意义;患者以<5岁儿童和>60岁老年人为主,不同年龄组患者平均住院时间(F=52.77,P<0.01)、次均住院费用(F=73.05,P<0.01)和日均住院费用(F=53.95,P<0.01)差异均有统计学意义;不同肺炎类型患者平均住院时间(F=25.51,P<0.01)、次均住院费用(F=14.57,P<0.01)和日均住院费用(F=24.30,P<0.01)差异均有统计学意义。结论肺炎住院患者人数逐年增加,防治工作依然艰巨;应积极推进重点人群接种肺炎疫苗的免疫策略,发展医联体建设,加强基层医疗卫生服务机构能力,探索降低肺炎医疗费用的举措。OBJECTIVE Pneumonia is a common respiratory disease.The purpose of this study was to understand the direct medical costs of hospitalized patients with pneumonia,so as to provide a reference basis for formulating prevention and control strategies for pneumonia and reducing the burden on patients.METHODS Based on the regional health information platform,the data of inpatients diagnosed as pneumonia in medical institutions above levelⅡin Ningbo from January 1,2015 to December 31,2017 were retrospectively collected,including basic information,time of admission and discharge,direct medical expenses,etc,and a database was established for statistical analysis.RESULTS From January1,2015 to December 31,2017,there were 52 247 hospitalized patients with pneumonia in medical institutions above levelⅡin Ningbo,with an average length of hospital stay of 9.84 days,an average hospital expenses of 6 035.51 yuan,and an average daily expenses of 577.99 yuan.The statistical differences in length of hospital stay(F=23.53,P<0.01),average expenses of each time(F=126.58,P<0.01),average expenses of each day(F=342.25,P<0.01)among different levels of hospitals and different types of pneumonia were all significant.The patients were mainly the children under 5 years old and the elderly over 60 years old.The statistical differences in length of hospital stay(F=52.77,P<0.01),average expenses of each time(F=73.05,P<0.01),average expenses of each day(F=53.95,P<0.01)among different age groups were all significant.The statistical differences in length of hospital stay(F=25.51,P<0.01),average expenses of each time(F=14.57,P<0.01),average expenses of each day(F=24.30,P<0.01)among different types of pneumonia were all significant.CONCLUSIONS The number of patients hospitalized with pneumonia is increasing,resulting in a hard prevention and control job.The immunization strategy of vaccinating target population against pneumococcal vaccine is required to reduce health hazards and economic losses.The medical association should be developed and the c

关 键 词：区域卫生信息平台 肺炎 住院患者 直接医疗费用 

分 类 号：R563.1[医药卫生—呼吸系统]