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广州市某医院脑梗死患者疾病经济负担研究

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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。
Economic burden of cerebral infarction patients in a tertiary general hospital in Guangzhou
Objective This paper aims to analyze average hospitalization expenses,focusing on the structure of per pa-tient'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 influ-encing 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 clas-sification,payment patterns,and patient sources.Conclusion The economic burden of cerebral infarction remains heavy.Hos-pitals should continue to optimize clinical diagnosis and treatment practices to enhance clinical pathway management.Govern-ments should improve the social security system to reduce the economic burden of disease on patients.

Cerebral infarctionEconomic burden of diseasePatient's personal costInfluencing factors

周倩、尹龙燕、邱恒、邹俐爱

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广州市第一人民医院 广东广州 510180

南方医科大学南方医院 广东广州 510515

脑梗死 疾病经济负担 自负费用 影响因素

2024

现代医院
广东省医院协会

现代医院

影响因子:1.332
ISSN:1671-332X
年,卷(期):2024.24(5)