Analysis of Hospitalization Expenses and its Influencing Factors of Patients with Bariatric and Metabolic Surgery in a Certain Grade A Tertiary Hospital in Jiangsu Province
Objective:To analyze the hospitalization costs and its influencing factors of patients with bariatric and metabolic surgery in a tertiary hospital in Jiangsu Province,to provide basic evidence for reducing the economic burden and controlling hospitalization ex-penses.Methods:The medical record data of patients with bariatric and metabolic surgery in a tertiary hospital in Jiangsu Province from January 2020 to December 2021 were selected for data analysis.Descriptive statistics was used to analyze the composition of hos-pitalization expenses,and multiple regression analysis was used to analyze the influencing factors.Results:A total of 1,552 patients with bariatric and metabolic surgery were included in this study.The total hospitalization expenses was 49 284.98±5 368.26 yuan,and the average length of stay was 5.06±1.78 days.The main components of expenses were the cost of hygiene materials,drug costs and operation costs.The results of multiple regression analysis showed that the influencing factors of hospitalization expenses of bariatric and metabolic surgery included gender,age,length of stay,BMI,diabetes,main surgical method and additional surgery(P<0.05).Conclusion:Hospitals should establish scientific and reasonable clinical pathways and strengthen the supervision of the use of medical consumables funds to effectively reduce the economic burden of patients.Moreover,administrative departments should promote the cen-tralized procurement for high-value medical consumables and appropriately raise the prices of surgical and therapeutic medical services to demonstrate the labor value of medical technology.