首页|贵州省某三甲公立医院1 093例糖尿病患者住院费用结构及西药费影响因素分析

贵州省某三甲公立医院1 093例糖尿病患者住院费用结构及西药费影响因素分析

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目的:分析贵州省某三甲医院糖尿病患者住院费用及西药费影响因素,以期为减轻患者经济负担、进一步优化医保政策、提高公众防病意识提供参考依据。方法:收集该医院2022年1093例糖尿病患者信息,对住院总费用构成进行逐步回归分析,对西药费影响因素进行K-W检验分析。结果:糖尿病患者住院总费用的中位数为17 158。24元,对住院总费用影响最大的费用是西药费(P<0。05),不同性别、年龄、住院天数、诊断、是否有并发症等住院西药费的差异存在统计学意义(P<0。05)。结论:该院糖尿病患者住院费用较高,可从实施临床路径管理、完善医保政策等方面控制西药费,合理控制疾病直接经济负担,并努力提高公众预防糖尿病的意识。
Analysis on Hospital Expenses of 1093 Diabetic Patients and Influencing Factors of West-ern Medicine Cost in a Guizhou Certain Grade A Tertiary Public Hospital
Objective:To analyze the influencing factors of hospitalization cost and western medicine cost for diabetic patients in a certain grade A tertiary hospital in Guizhou Province,so as to provide reference for reducing the economic burden of patients,further optimizing the medical insurance policy and improving the public awareness of disease prevention.Method:The data of 1 093 patients with diabetes mellitus in the hospital in 2022 were collected.The influencing factors of total inpatient expenses were analyzed by step-wise regression analysis,and the influencing factors of western medicine expenses were analyzed by Kruskal-Walli rank sum test.Re-sult:The median total inpatient expenses of diabetic patients in a third-class A hospital in Guizhou Province was 17,158.24 yuan,and the cost of western medicine had the greatest impact on the total inpatient expenses(P<0.05).There were statistically significant dif-ferences in hospitalization costs of diabetes patients with different gender,age,hospitalization days,diagnosis and complications(P<0.05).Conclusion:The hospitalization cost of diabetes patients in Guizhou Province is relatively high.We can control the cost of west-ern medicine by implementing clinical pathway management and improving medical insurance policy,so as to gradually raise the pub-lic awareness of preventing diabetic diseases and reasonably control the direct economic burden of diseases.

Diabetes MellitusHospitalization ExpensesCost of Western MedicineInfluencing FactorsGuizhou Province

吕轶娟、陶婉菊、梁启君

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贵州中医药大学第一附属医院财务科,贵州 贵阳 550001

贵州中医药大学第一附属医院信息科,贵州 贵阳 550001

糖尿病 住院费用 西药费 影响因素 贵州

贵阳市科技计划

筑科合同[2019]9-2-40号

2024

江苏卫生事业管理
江苏省医学会

江苏卫生事业管理

影响因子:0.453
ISSN:1005-7803
年,卷(期):2024.35(2)
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