Objective:To analyze the composition,main influencing factors,and trends of hospitalization medical expenses for hepatitis B patients in a city of Gansu Province,providing a reference for effectively controlling these costs.Methods:The aver-age hospitalization cost for 1254 hepatitis B patients from 2019-2021 in a city in Gansu Province was analyzed with discounting,grey relational analysis,and structural change analysis for cost composition.Univariate analysis and multiple stepwise regression were used to identify factors influencing hospitalization costs.Results:The components of hospitalization costs,in decreasing order of correlation,were the costs of western medicine,health materials,laboratory tests,examinations,treatment,Chinese patent med-icine,other costs,nursing care,bed,surgery,and Chinese herbal decoction.From 2019 to 2021,the most significant changes in hospitalization cost structure were in western medicine costs,other costs,and health material costs,with structural change rates of 29.6%,17.65%,and 11.70%,respectively.The primary factors influencing hospitalization costs were gender,hospital grade,length of hospital stay,disease type,insurance type,and antiviral treatment.Conclusion:The burden of hospitalization costs for hepatitis B patients in this city remains substantial.In the future,further reforms are needed in the DRG payment system,central-ized drug procurement,medical service pricing,and public hospital salary systems.Additionally,exploring a comprehensive man-agement model of early diagnosis and treatment for hepatitis B patients is crucial.
维普
万方数据
