论文部分内容阅读
[目的]分析糖尿病住院病人的住院费用及影响因素。[方法]对云南省两个县级医院2005～2009年糖尿病住院病人的住院费用构成进行分析,并采用多元线性回归方法对影响其住院费用的因素进行多因素分析。[结果]2005～2009年期间,糖尿病住院病人以50岁以上人群为主(占69.5%);在糖尿病病人的住院费用构成中,连续5年来西药费所占的比例最高,且呈逐年增加的趋势。影响糖尿病住院费用的因素主要有性别和住院天数,男性糖尿病患者的住院费用比女性高(OR=0.89,95%CI为0.88～0.90),住院天数越长的病人其住院费用越高(OR=1.90,95%CI为1.84～1.96)。[结论]缩短平均住院天数有利于控制住院费用的上涨。
[Objective] To analyze the hospitalization expenses and influencing factors of diabetic inpatients. [Methods] The hospitalization costs of inpatients with diabetes from 2005 to 2009 in two county-level hospitals in Yunnan Province were analyzed. Multivariate linear regression was used to analyze the factors influencing hospitalization costs. [Results] In the period from 2005 to 2009, the majority of inpatients with diabetes were over 50 years old (accounting for 69.5%). Among the hospitalization expenses of diabetic patients, the proportion of western medicine expense was the highest for 5 consecutive years and increased year by year trend. The main factors affecting the cost of hospitalization were diabetes and hospitalization days. The incidence of hospitalization was higher in men with diabetes than in women (OR = 0.89, 95% CI 0.88-0.90). The longer the hospitalization days, the higher the cost of hospitalization (OR = 1.90, 95% CI 1.84 ~ 1.96). [Conclusion] Shortening the average length of stay helps to control the increase of hospitalization costs.