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目的 确定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SPSS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:住院天数对病毒性肝炎住院费用有显著影响。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、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。同时,年龄、一级护理、年度等因素对住院费用均有不同程度的影响。
Objective To determine the cost of hospitalization and its influencing factors in patients with viral hepatitis. Method information from the National Health Statistics Information Center medical record home database, application of SPSS statistical package processing, statistical methods such as variance analysis, multiple stepwise regression analysis. Results Among the hospitalized patients with military viral hepatitis, the proportion of medical expenses accounted for 54.39%, beds accounted for 21.04% and treatment costs accounted for only 17.66%. Univariate analysis showed that hospitalization days had a significant effect on the cost of hospitalization for viral hepatitis. Hospitalization and treatment results had significant effects on the hospitalization costs of viral hepatitis (P <0.01). In addition, age, marital status, ranks of different occupations and the number of military units also had some impact (P <0.01). 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, pathogen type and so on. Conclusion The high incidence of hepatitis B in military units and the number of days of hospitalization are the main reasons that affect the hospitalization expenses of patients with viral hepatitis. At the same time, age, primary care, and other factors have different degrees of impact on hospitalization costs.