广州市某医院脑梗死患者疾病经济负担研究  

Economic burden of cerebral infarction patients in a tertiary general hospital in Guangzhou

作　　者：周倩[1] 尹龙燕[1] 邱恒[2] 邹俐爱[2] ZHOU Qian;YIN Longyan;QIU Heng;ZOU Liai(Guangzhou First People’s Hospital,Guangzhou 510180,China;Nanfang Hospital,Southern Medical University,Guangzhou 510515,China)

机构地区：[1]广州市第一人民医院,广东广州510180 [2]南方医科大学南方医院,广东广州510515

出　　处：《现代医院》2024年第5期753-756,共4页Modern Hospitals

基　　金：广东省卫生经济学会重点课题(2022-WJZD-05)。

摘　　要：目的分析脑梗死患者次均住院费用,特别是次均住院自负费用的结构以及影响因素,为缓解患者疾病经济负担提供参考依据。方法运用描述性统计分析对广州市某三甲医院2015—2022年脑梗死出院患者的次均费用及费用结构进行比较分析,并采用多重线性分析法研究影响患者次均住院自负费用的因素。结果脑梗死患者次均住院费用增长放缓,年均增长率为2.86%;费用结构逐步优化,2022年次均技术劳务费占比47.41%;脑梗死患者次均住院自负费用呈增长趋势,年均增长率5.96%,且受住院时间、病例分型、付费方式以及患者来源等因素共同影响。结论脑梗死患者的疾病经济负担仍然较重,医疗机构应不断规范诊疗行为,加强临床路径管理,政府应该不断完善社会保障体系,降低患者的疾病经济负担。Objective This paper aims to analyze average hospitalization expenses,focusing on the structure of per patient’s personal costs,and the influencing factors,to provide reference for reducing the disease economic burden on patients.Methods Descriptive statistical analysis was conducted to compare hospitalization expenses and their structures among cerebral infarction patients in a tertiary general hospital in Guangzhou from 2015 to 2022.Multilinear analysis was used to study the influencing factors of patient’s personal costs.Results The growth of hospitalization expenses of cerebral infarction patients slowed down,with an average annual growth rate of 2.86%.The structure of hospitalization expenses was gradually optimized,with the average technical and labor costs accounting for 47.41%.The personal costs of cerebral infarction patients showed an increasing trend,with an average annual growth rate of 5.96%.This trend was influenced by factors such as hospitalization days,case classification,payment patterns,and patient sources.Conclusion The economic burden of cerebral infarction remains heavy.Hospitals should continue to optimize clinical diagnosis and treatment practices to enhance clinical pathway management.Governments should improve the social security system to reduce the economic burden of disease on patients.

关 键 词：脑梗死 疾病经济负担 自负费用 影响因素 

分 类 号：R197.322[医药卫生—卫生事业管理] R1-9[医药卫生—公共卫生与预防医学]