Analysis of Costs and Influencing Factors of 3520 Inpatients with Lumbar Disc Herniation
Objectives This study aims to explore the cost structure and influencing factors of inpatients with lumbar disc herniation in traditional Chinese medicine hospitals,in order to provide a reference for effective control of discharge costs for patients with lumbar disc herniation.Methods The total cost and composition of 3520 inpatients with lumbar disc herniation who were discharged from the medical record system of a city's traditional Chinese medicine hospital from January 1 to December 31,2022 were selected.One-way 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 cost of 3,520 lumbar disc discharge patients was 10,974.45 yuan,with material costs accounting for the highest proportion,reaching 31.24％.Drug fees and inspection fees followed,accounting for 16.85％and 16.76％respectively.Multi-factor analysis results showed that surgery,age,gender,and length of stay were the main factors affecting the hospitalization costs of inpatients with lumbar disc herniation.Among them,whether surgery was performed had the greatest impact on discharge costs.Comparing the discharged patients with surgical and non-surgical treatment,the average hospitalization cost of surgical patients increased by 3,458.25 yuan,and the difference was statistically significant(P＜0.05).Conclusions Patients discharged from the hospital with lumbar disc herniation have higher hospitalization expenses and heavier financial burdens.Hospitals must comprehensively improve medical technology,continuously research new technologies,achieve early detection and early treatment,and scientifically control medical expenses.
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