Analysis of hospitalization costs of elderly patients with diabetes in Hainan Province in 2022
Objective To study the distribution and influencing factors of hospitalization costs of elderly patients with diabetes in Hainan Province,providing evidence for the relevant governmental departments in the formulation of prevention and treatment strategies for elderly diabetes.Methods Based on the homepage data of medical records of tertiary hospitals in Hainan Province in 2022,the hospitalization costs of elderly diabetes patients in Hainan Province were divided into five grades:lower,low,general,high,and higher.The hospitalization costs of 8 183 elderly diabetes patients in Hainan Province and their influencing factors were analyzed by using an ordered multicategory logistic regression model.Results The hospitalization costs of the elderly patients with diabetes in Hainan Province as a whole showed a right-skewed distribution but followed a nearly normal distribution within the range of 0-50 000 yuan,with a mean value of(10 446.32±10 228.36)yuan.The number of hospitalizations,medical institution visited,type of medical insurance,reimbursement ratio,household registration,gender,age,place of birth,marital status,and work unit were related factors affecting the level of hospitalization costs of elderly diabetes patients in Hainan Province(P<0.05).Compared to the group with≥4 hospitalizations,the estimated coefficients for the group with 1 hospitalization was(β=-0.728,95%CI:-0.852 to-0.603,P<0.001),for the group with 2 hospitalizations:(β=-0.359,95%CI:-0.511 to-0.206,P<0.001),and for the group with 3 hospitalizations:(β=-0.314,95%CI:-0.495 to-0.133,P<0.001),indicating that fewer hospitalizations significantly reduced hospitalization costs.Compared to those treated in medical institutions in other cities and counties,patients treated in Haikou City had(β=1.137,95%CI:1.028 to 1.247,P<0.001),and patients treated in Sanya City had(β=1.046,95%CI:0.916 to 1.175,P<0.001),showing that hospitalization costs for patients in Haikou and Sanya cities were significantly higher than those in other regions.Compared to those using commercial health insurance,patients using urban employee basic medical insurance had(β=-0.352,95%CI:-0.531 to-0.173,P<0.001),those using urban resident basic medical insurance had(β=-0.384,95%CI:-0.587 to-0.182,P<0.001),and those using the new rural cooperative medical insurance had(β=-0.545,95%CI:-0.754 to-0.335,P<0.001),indicating that using social medical insurance significantly reduced hospitalization costs.Conclusions Diabetes patients consume a lot of medical and health resources,imposing a heavy economic burden on individuals,families,and society.Early prevention and treatment of diabetes should be implemented,with a focus on the health management of the elderly population to reduce the medical burden of diabetes in the future.
NETL
NSTL
万方数据
