山西省长治市某三甲医院皮肤病患者住院费用的影响因素  

Influencing Factors of Hospitalization Expenses of Patients with Skin Diseases in a Tertiary Hospital in Changzhi City of Shanxi Province

作　　者：王蓉[1] 耿泰山 Wang Rong;Geng Taishan(Department of social medicince,School of Public Health,Shanxi Medical University,Taiyuan 030000,Shanxi Province,China;不详)

机构地区：[1]山西医科大学公共卫生学院社区医学教研室,山西省太原市030001 [2]长治市第二人民医院,长治市046000

出　　处：《中国病案》2024年第1期64-68,共5页Chinese Medical Record

摘　　要：目的分析皮肤病患者住院费用结构及影响因素,为控制住院费用和降低患者经济负担提供参考依据。方法收集2015年1月1日-2021年12月31日期间山西省长治市某三甲医院11539例皮肤病患者的基本信息及费用情况,对基本信息进行描述性分析,在单因素分析基础上,分别采用多元回归分析和分位数回归模型。结果皮肤病患者平均住院费用为6970.35元,主要构成为药品费和诊断费,药品费与住院费用相关性(0.896)最强。多元回归分析显示住院天数是影响费用的主要因素。分位数回归分析显示,住院天数、住院年份和有无伴随疾病在住院费用的中高分位数费用组上影响最大。结论住院天数和药品费是住院费用的重要影响和构成因素。因此优化皮肤病患者住院费用结构,减少无效住院天数,减轻患者疾病负担。Objectives This study aims to understand the composition and main influencing factors of the hospitalization expenses of patients with skin diseases,so as to provide a reference for controlling hospitalization costs and reducing patients'financial burden.Methods The basic information and expenses of 11,539dermatological patients in a tertiary hospital in Changzhi City,Shanxi Province from January 1,2015 to December 31,2021 were collected.The basic information was descriptively analyzed.Multiple regression analysis and quantile regression model were used on the basis of single factor analysis.Results The average hospitalization cost of patients with skin diseases was 6,970.35 yuan.The main components were drug fees and diagnostic fees,and the correlation between drug fees and hospitalization expenses was the strongest(0.896).Multiple regression analysis showed that length of hospital stay was a major factor affecting costs.Quantile regression analysis showed that the length of hospitalization,year of hospitalization,and presence of comorbid diseases had the greatest impact on the middle and high quantile cost groups of hospitalization costs.Conclusions The length of hospital stay and the cost of drugs are important influences and components of hospitalization costs.Therefore,hospitals should optimize the hospitalization fee structure for dermatological patients,reduce the number of ineffective hospitalization days,and reduce the disease burden on patients.

关 键 词：皮肤病 住院费用 影响因素 

分 类 号：R197.32[医药卫生—卫生事业管理]