糖尿病视网膜病变住院患者发生灾难性卫生支出的影响因素分析  

Analysis of Factors Influencing the Incidence of Catastrophic Health Expenditures in Hospitalized Patients with Diabetic Retinopathy

作　　者：陈秋菊 Chen Qiuju(Department of Personnel,Liuzhou Red Cross Hospital,Liuzhou 545001,Guangxi Zhuang Autonomous Region,China)

机构地区：[1]柳州市红十字会医院人事科,广西壮族自治区柳州545001

出　　处：《中外医药研究》2024年第11期151-153,共3页JOURNAL OF CHINESE AND FOREIGN MEDICINE AND PHARMACY RESEARCH

基　　金：广西壮族自治区卫生健康委员会自筹经费科研项目(编号:Z20190697)。

摘　　要：目的:分析糖尿病视网膜病变(DR)住院患者发生灾难性卫生支出(CHE)的影响因素。方法:回顾性分析2019年2月—2023年10月于柳州市红十字会医院接受住院治疗的DR患者466例的临床资料。将患者按照是否发生CHE分为CHE组(n=69)与无CHE组(n=397)。比较两组各项临床资料,并以多因素Logistic回归分析明确DR住院患者发生CHE的影响因素。结果:两组性别、年龄、BMI、接受文化教育年限比较,差异无统计学意义(P>0.05);CHE组家庭收入水平为贫困、家中有老年人、基本医疗保险类型为全自费占比均高于无CHE组,差异有统计学意义(P<0.05)。多因素Logistic回归分析结果显示,家庭收入水平贫困、家中有老年人、基本医疗保险类型为全自费是DR住院患者发生CHE的危险因素(P<0.05)。结论:DR住院患者发生CHE的危险因素包括家庭收入水平为贫困、家中有老年人、基本医疗保险类型为全自费。Objective:To analyze the influencing factors of diabetic retinopathy(DR)hospitalized patients incurring catastrophic health expenditure(CHE).Methods:The clinical data of four hundred and sixty-six DR patients who received inpatient treatment at Liuzhou Red Cross Hospital from February 2019 to October 2023 were retrospectively analyzed.The patients were divided into CHE group(n=69)and no-CHE group(n=397)according to whether CHE occurred or not.The clinical data of the two groups were compared,and multifactorial logistic regression analysis was used to clarify the influencing factors of the occurrence of CHE in DR hospitalized patients.Results:Comparison of gender,age,BMI,and years of cultural education between the two groups showed no statistically significant difference(P>0.05);the percentage of the CHE group whose family income level was poor,who had elderly people at home,and whose type of basic medical insurance was fully self-funded was higher than that of the no-CHE group,and the difference was statistically significant(P<0.05).The results of multifactorial Logistic regression analysis showed that family income level of poverty,having elderly people at home,and type of basic health insurance being fully self-funded were risk factors for the occurrence of CHE in DR inpatients(P<0.05).Conclusion:Risk factors for the occurrence of CHE in DR hospitalized patients include family income level of poverty,having elderly people at home,and the type of basic health insurance being fully self-funded.

关 键 词：糖尿病视网膜病变 灾难性卫生支出 基本医疗保险 

分 类 号：R197[医药卫生—卫生事业管理]