部队病毒性肝炎患者住院费用及相关因素分析

来源 :第四军医大学学报 | 被引量 : 0次 | 上传用户:rewyuh
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目的:调查部队病毒性肝炎患者住院费用及其影响因素. 方法:资料来自全军卫生统计信息中心病案首页数据库,应用 S P S S统计软件包处理,统计方法有方差分析、多元逐步回归分析等. 结果:部队病毒性肝炎患者住院费用中,药费所占比重较大,达 54.39% ,床位费占 21.04% ,治疗费仅占17.66% . 单因素分析结果表明:乙肝住院费占肝炎全部住院费的 59.75% ,住院天数对病毒性肝炎住院费用也有显著影响,住院天数在 15 d 以内的患者,人均住院费用仅为295.12元,超过30 d 后,则高达1288. 25 元. 入院情况及治疗结果等相关因素对病毒性肝炎住院费用均有明显影响( P< 0.01),另外,年龄、婚姻状况、不同职级别及军兵种等因素也有一定影响( P< 0.01). 逐步回归结果显示:影响患者住院费用的因素按作用大小依次为:住院天数、患者年龄、一级护理、年度、是否手术、治疗结果、入院情况、有无并发症、是否发生院内感染、军种、性别及病原类型等. 结论:部队乙肝发病率高,住院天数是影响军队病毒性肝炎患者住院费用的主要原因,前者居肝炎住院费用首位(59.75% ), 后者对住院费用的影响表现出明显的正相关. 同时,年龄、一级护 Objective: To investigate the cost of hospitalization and its influencing factors in patients with viral hepatitis. Methods: The data were obtained from the database of medical records of the whole army’s Health Statistics Information Center. The data were processed using the SPSS statistical software package. The statistical methods included variance analysis and multivariate stepwise regression analysis. Results: Among the hospitalized patients with military viral hepatitis, the share of medical expenses was 54.39%, the bed charge was 21.04% and the treatment expense was only 17.66%. Univariate analysis showed that: hepatitis B hospitalization accounted for 59.75% of the total hospitalization cost of hepatitis, hospitalization days also had significant effects on the cost of hospitalization for viral hepatitis, hospitalization days within 15 days of patients, the per capita hospitalization cost was only 295.12 yuan , More than 30 d, then up to 1288. 25 yuan. Hospitalization and treatment results had significant effects on the hospitalization costs of viral hepatitis (P <0.01). In addition, factors such as age, marital status, ranks, ). The results of stepwise regression showed that the factors influencing the cost of hospitalization were as follows: length of hospitalization, patient’s age, primary care, annual, whether surgery, treatment outcome, hospitalization, complication, nosocomial infection, Gender and pathogen type. Conclusion: The high incidence of hepatitis B and the number of days of hospitalization are the main reasons that affect the cost of hospitalization for viral hepatitis in the army. The former is the first hospitalization of hepatitis (59.75%), and the latter shows a significant positive correlation with the cost of hospitalization. At the same time, age, first-class care
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