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参保乙肝患者住院费用及其影响因素分析

Analysis on medical expense and influencing factors of insured inpatients with chronic hepatitis B

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目的 了解天津市2003-2007年参保乙肝患者住院费用的变化趋势及其影响因素,同时探讨灰色关联法和多元回归在住院费用分析中联合应用的有效性.方法 采用灰色关联法量化药品费等在总费用中的重要程度,综合评价住院费用结构的影响因素;采用多元逐步回归方法分析住院费用的外部影响因素.结果 近5年来,药品费所占比例高达67.49%,是参保乙肝患者住院费用最主要的影响因素,关联序居首位;检查费(11.12%)是次要影响因素,关联序居次席.影响住院费用的外部因素有住院天数、疾病严重程度等.结论 采取有效措施控制药品费的不合理增长和减少不必要的检查项目是控制总费用的关键.灰色关联法和多元回归在住院费用分析中的联合应用是可行、有效的.
Objective To study the dynamic trend of hospitalization cost of insured inpatients with chronic hepatitis B (CHB) from 2003 to 2007 in Tianjin, to analyze the factors affecting the cost, and to explore the effectiveness of combined application of grey correlation and multiple linear regression in the analysis of the cost. Methods Grey correlation method was adopted to quantify the costs of medicine and other items in order to determine the internal influencing factors and MLR (multiple linear regression analysis) was used to assess the external factors that affected the cost. Results Gray correlation analysis showed that expense of drug was the major influencing factor followed by examination cost which accounted for 67. 49% and 11. 12% of total cost. Days in hospital, severity of the disease and others were external factors affecting the hospitalization cost. Conclusions Drug and examination costs are closely related to the total medical expenditure of insured inpatients with CHB, therefore it is critical to control the unreasonable increase of drug cost and to avoid unnecessary medical examination. The combined use of grey correlation and multiple linear regression is feasible and effective in the analysis of medical cost of hospitalized insured CHB patients.

Hospitalization expenseGray Correlation MethodMLR

范琳琳、陈金彪、崔壮、李长平、宋春华、马骏

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天津医科大学公共卫生学院卫生统计学教研室,天津300070

天津经济技术开发区卫生防疫站

慢性乙型肝炎 住院费用 灰色关联法 多元回归

全国统计科学研究计划项目教育部人文社会科学研究项目

2009LY01111YJCZH080

2013

中国预防医学杂志
中华预防医学会

中国预防医学杂志

CSTPCD
影响因子:1.004
ISSN:1009-6639
年,卷(期):2013.14(2)
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