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目的对比分析广东省急性与慢性病毒性肝炎患者的住院费用及其影响因素,为减轻肝炎患者住院经济负担提供政策依据。方法采用多阶段分层随机抽样的方法选取广东省4所医院作为研究对象,收集2010年4~5月住院的312例病毒性肝炎患者的相关资料,了解其费用构成并采用多元逐步回归法分析住院费用的影响因素。结果广东省急性与慢性病毒性肝炎患者平均每次住院费用分别为13 272.78元、14 416.49元;药品费在住院费用中所占比例最大,分别为7 723.34元(58.2%)、8 235.20元(57.1%);住院天数是肝炎患者住院费用的主要影响因素。结论控制药品费用增长及合理缩短住院天数是降低急性与慢性肝炎患者住院费用的重要途径。
Objective To compare and analyze the hospitalization expenses and its influencing factors in patients with acute and chronic viral hepatitis in Guangdong Province and provide policy basis for alleviating the inpatient financial burden of hepatitis patients. Methods A total of 312 hospitalized patients with viral hepatitis from April to May in 2010 were collected from 4 hospitals in Guangdong Province by multi-stage stratified random sampling method to find out the cost components and to use multivariate stepwise regression analysis Factors affecting the cost of hospitalization. Results The average cost per hospital stay for patients with acute and chronic viral hepatitis in Guangdong Province was 13 272.78 yuan and 14 416.49 yuan, respectively. The cost of medicines was the highest in hospitalization expenses, accounting for 7 723.34 yuan (58.2%) and 8 235.20 yuan (57.1 %); The number of days of hospitalization is the main influencing factor of hospitalization cost of hepatitis patients. Conclusion The control of drug costs and the reasonable shortening of hospital stay is an important way to reduce the hospitalization costs of acute and chronic hepatitis patients.