江苏卫生事业管理2024,Vol.35Issue(2) :237-240,244.

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

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

吕轶娟 陶婉菊 梁启君
江苏卫生事业管理2024,Vol.35Issue(2) :237-240,244.

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

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

吕轶娟 1陶婉菊 1梁启君2
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作者信息

  • 1. 贵州中医药大学第一附属医院财务科,贵州 贵阳 550001
  • 2. 贵州中医药大学第一附属医院信息科,贵州 贵阳 550001
  • 折叠

摘要

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.

Abstract

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.

关键词

糖尿病/住院费用/西药费/影响因素/贵州

Key words

Diabetes Mellitus/Hospitalization Expenses/Cost of Western Medicine/Influencing Factors/Guizhou Province

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基金项目

贵阳市科技计划(筑科合同[2019]9-2-40号)

出版年

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
参考文献量7
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