Analysis of Hospitalization Expenses and Influencing Factors of Inpatients with Hypertension in a Tertiary Hospital in Beijing
Objectives This study aims to explore the cost composition and influencing factors of hypertensive inpatients in a tertiary hospital in Beijing,in order to provide a reference for effective control of discharge costs for hypertensive patients.Methods The total costs and composition of 12,401 hospitalized hypertensive patients discharged from the medical record system of a tertiary hospital in Beijing from January 1 to December 31,2021 were selected.Single-factor analysis of variance and multiple stepwise regression analysis were used to conduct statistical analysis on the influencing factors of hospitalization costs.Results The per capita hospitalization expense of 12,401 discharged patients with hypertension was 23,334.37 yuan,with western medicine expenses accounting for the largest proportion,reaching 38.25％.Surgery fees and treatment fees followed,accounting for 36.41％and 25.34％respectively.Multi-factor analysis results showed that hypertension grade,age,gender,and length of stay were the main factors affecting the hospitalization costs of inpatients with hypertension.Among them,the grade of hypertension had the greatest impact on discharge costs.Comparing discharged patients with grade 3 hypertension and grade 1 hypertension,the average hospitalization cost of grade 3 patients increased by 8322.23 yuan(both P＜0.05).Conclusions Hypertension has a high disability rate and requires long-term drug treatment to control,placing a greater financial burden on patients and families.It is necessary to achieve early detection and early treatment and scientifically control medical expenditures,thereby effectively reducing social and economic burdens and medical resource consumption.
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