摘要
目的探讨2型糖尿病患者住院费用的变化及其构成因素。方法收集哈尔滨市3家三甲医院2002—2007年12月间收治的2型糖尿病患者7046例住院病历和住院费用资料,分析住院总费用变化、费用构成与血糖控制及并发症的关系。结果2002-2007年Ⅱ型糖尿病单次住院平均总费用呈逐年增加趋势,差异性显著(P<0.01);药费占总费用的比率呈下降趋势,非药品费用比率逐渐增高,差异性显著(P<0.01);HBA1c≥10%组,人均住院费用明显高于HBA1c≤6.5%组,差异性显著(P<0.01);有并发症组患者平均住院费用是无并发组的3.57倍,糖尿病足的平均住院费用最高,其次为较重的糖尿病微血管病变。结论2型糖尿病患者住院费用逐年增加,其构成与血糖控制、并发症数量、并发症种类有关。不同的糖尿病并发症对住院费用的贡献率不同。
Objective To-discuss the change and composition of hospital charges for style 2 diabetes patients. Method There were 2 095 patients of type 2 diabetes mellitus in year Dec 2002-2007 hospitalized in 3 tertiary hospitals in Harbin. The change of total hospital charges, the composition of the charges and the relationship with blood sugar control and complications were analyzed. Result The average total hospital charges for type 2 diabetes patients had been increasing during 2002-2007 year by year and showing significant difference （P〈0.01） ; the percentage of medicines in the total charges had been decreasing and other charges increasing and showing significant difference （P〈0.01）; HbA 1C P≥10% group and the average hospital charges are obvious y higher than HbA 1C≤6.5% with significant difference （P〈0.01）; the hospital charges of type 2diabetes meltitus with complications are 3.75 times of those without complications; the group in which the diabetics with foot problem complications ranked the highest in average expense of hospitalization and the group in which the diabetics with microvascular diseases ranked the second place Conclusion The hospital charges for type 2 diabetes patients had been increasing and its composition is related with blood sugar control, number and types of complications. Different complications of diabetes contribute different percentages to hospital charges.
出处
《中国医院管理》
2009年第3期15-17,共3页
Chinese Hospital Management
关键词
2型糖尿病
医疗费用
并发症
type 2 diabetes mellitus, medical charges, complications First-author＇s
