首页|上海市某三级医院2952例Ⅱ型糖尿病患者住院费用影响因素分析

上海市某三级医院2952例Ⅱ型糖尿病患者住院费用影响因素分析

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目的 探讨Ⅱ型糖尿病住院患者费用影响因素,为Ⅱ型糖尿病患者出院费用能有效的控制提供参考借鉴.方法 选取上海市某三级医院病案系统2022年1月1日-12月31日出院2952例Ⅱ型糖尿病患者总费用及构成情况,采用单因素方差分析和多元逐步回归分析法对住院费用的影响因素进行统计分析.结果 Ⅱ型糖尿病患者的住院费用平均数为12 206.12元,住院费用的构成中药品费所占比例最高(56.50%);一般医疗服务费次之(43.33%);西药费用占人均药品费最大,为91.28%;中成药占第二,占比8.34%.糖尿病患者住院费用的主要影响因素依次为并发症数量、年龄、付费方式、住院天数.其中,并发症数量对住院费用影响最大,比较只有1个并发症和3个以上并发症的出院患者,并发症较多的患者平均住院费用增加8322.23元,差异具有统计学意义.结论 Ⅱ型糖尿病出院患者住院费用较高,医院要积极制定政策,合理科学地控制医疗费用的支出.
Analysis on the Hospitalization Expenses and Its Influencing Factors of 2952 Cases of Type 2 Diabetes Patients in a Tertiary Hospital in Shanghai
Objectives To explore the hospitalization expenses and influencing factors of Type 2 diabetes inpatients in a hospital in Shanghai,so as to provide reference for the effective control of discharge costs of diabetes patients.Methods The total expenses and composition of 2952 patients with diabetes discharged from the medical record system of a tertiary hospital in Shanghai from January 1st to December 31st,2022 were selected,and the influencing factors of hospitalization expenses were statistically analyzed by one-way anova and multiple stepwise regression analysis.Results The average hospitalization expenses of type Ⅱ diabetes patients were 12 206.12 yuan,and the proportion of drug expenses was the highest(56.50%).General medical service expenses was the second(43.33%);Western medicine expenses accounted for the highest per capita drug expenses,91.28%;Proprietary Chinese medicine took the second place,accounting for 8.34%.The main influencing factors of hospitalization expenses of diabetic patients were the number of complications,age,payment method and hospitalization days.Among them,the number of complications had the greatest impact on hospitalization expenses.Compared with discharged patients with one complication and more than three complications,the average hospitalization expenses of patients with more complications increased by 8322.23 yuan,and the difference was statistically significant.Conclusions The hospitalization expenses of discharged patients with diabetes were high,The hospital should actively formulate policies,reasonably and scientifically control the medical expenses.

Type 2 DiabetesInfluencing factorsHospitalizationExpenses

汪佳雯

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上海市第十人民医院病案统计科,上海市,200072

Ⅱ型糖尿病 影响因素 住院 费用

2024

中国病案
中国医院协会

中国病案

CSTPCD
影响因子:1.197
ISSN:1672-2566
年,卷(期):2024.25(8)
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