摘要
目的分析基于住院病案首页的某医院2021-2022年脑卒中患者的住院费用及影响因素。方法收集2021年1月至2022年12月秦皇岛军工医院出院的650例脑卒中患者的住院病案首页资料。采用描述性分析法对患者一般情况及住院费用构成进行分析,采用有序logistic回归分析探讨秦皇岛军工医院2021-2022年脑卒中患者住院费用的影响因素。结果本研究2021-2022年脑卒中患者的平均住院费用分别为15296.62元、17003.20元。同2021年比较,2022年患者平均住院费用明显升高,其中平均住院费用项目中占比前三位的分别为药品费(占46.82%、43.55%)、治疗费(占34.31%、36.28%)、诊断费(占11.69%、13.41%),后三位分别为手术费(占0.91%、0.81%)、输血费(占0.20%、0.21%)、其他费用(占0.37%、0.49%)。本研究根据脑卒中患者的住院费用将“~25%”划分为低费用(n=168)、“25%~75%”划分为中费用(n=322),“75%~”划分为高费用(n=160),随后经单因素分析显示,年龄、医疗付费方式、住院时间、手术和操作、危重在组别的住院费用之间存在统计学差异(P<0.05)。有序Logistic回归分析结果表明,年龄、医疗付费方式、住院时间、手术和操作、危重均为影响脑卒中住院费用的相关因素(P<0.05)。结论某医院2021-2022年脑卒中患者住院费用逐年升高,存在经济负担,并且年龄、医疗付费方式、住院时间、手术和操作、危重是影响住院费用的因素。建议采用加强药物科学合理使用、降低药品费、完善医疗制度,缩短住院天数,提高及时就医意识,避免发展为危重病情等措施,从而达到减少脑卒中患者住院费用的效果。
Objective:To explore the the hospitalization expenses and influencing factors of stroke patients in a hospital from 2021 to 2022 based on the homepage of inpatient medical records.Methods:The homepage data of inpatient medical records of 650 stroke patients discharged from Qinhuangdao Military Industrial Hospital from January 2021 to December 2022 were collected.Descriptive analysis was used to analyze the general conditions of the patients and the composition of hospitalization expenses,and ordinal logistic regression analysis was used to explore the influencing factors of the hospitalization expenses of stroke patients in Qinhuangdao Military Industrial Hospital from 2021 to 2022.Results:The average hospitalization costs of stroke patients in this study from 2021 to 2022 were 15,296.62 yuan and 17,003.20 yuan,respectively.Compared with 2020,the average hospitalization expenses of patients in 2021 significantly increased.The top three items in the average hospitalization expenses were drug expenses(46.82%,43.55%)and treatment expenses(34.31%,36.28%),diagnosis fees(11.69%,13.41%),and the last three were surgery fees(0.91%,0.81%),blood transfusion fees(0.20%,0.21%),and other fees(0.37%,0.49%).In this study,according to the hospitalization cost of stroke patients,"~25%"was divided into low cost(n=168),"25%~75%"was divided into medium cost(n=322),and"75%~"was divided into high cost expenses(n=160),and univariate analysis showed that age,medical payment method,length of hospital stay,surgery and operation,and critical illness were statistically different among groups in hospitalization expenses(P<0.05).The ordinal logistic regression analysis showed that age,medical payment method,hospital stay,surgery and operation,and critical illness were all related factors affecting the hospitalization cost of stroke(P<0.05).Conclusion:In a hospital from 2021 to 2022,the hospitalization cost of stroke patients has increased year by year,and there is an economic burden.Age,medical payment method,hospitalization time,surgery and operation,and critical illness are the factors that affect the hospitalization cost.It is recommended to strengthen the scientific and rational use of drugs,reduce drug costs,improve the medical system,shorten the length of hospitalization,improve the awareness of timely medical treatment,and avoid developing into critical illnesses,so as to reduce the hospitalization costs of stroke patients.
作者
袁春苗
王小明
代红
匡得利
Yuan Chunmiao;Wang Xiaoming;Dai Hong;Kuang Deli(Peking University Third Hospital Qinhuangdao Hospital,Hebei Qinhuangdao 066000)
出处
《生命科学仪器》
2023年第6期131-134,共4页
Life Science Instruments
基金
秦皇岛市重点研发计划科技支撑项目,编号:202101A119,项目名称:软通道颅内血肿钻孔引流术对老年性脑出血血脑屏障保护的探究
关键词
住院病案首页
脑卒中
住院费用
影响因素
Homepage of inpatient medical records
stroke
hospitalization expenses
influencing factors
