辽宁省某市2007 — 2017年结核病患者住院费用分析

刘宏宇; 张玉; 朱雪雪; 周令

doi:10.11847/zgggws1119828

辽宁省某市2007 — 2017年结核病患者住院费用分析

Hospitalization cost for pulmonary tuberculosis patients in a city of Liaoning province: 2007 – 2017

摘要

摘要:
目的了解辽宁省某市结核病住院费用情况并探讨其影响因素。
方法对辽宁省某市2007年1月 — 2017年12月出院诊断为结核病住院患者的住院费用进行回顾性分析，共获取有效病例42 356例。
结果 2007 — 2017年间患者人均住院费用呈上涨趋势，由3 674.54元增长到13 722.64元（χ² = 110.00，P = 0.00）。药费和检查费占结核病患者的住院费用比例较高，分别为57.90 %、23.13 %。出院情况、实际住院天数、病人职业、付费方式、医院级别、病人年龄、婚姻状况、病人性别均是结核病患者住院费用的影响因素。
结论结核病患者住院费用总体上呈上涨趋势，通过建立结核病规范化临床路径、扩展减免服务项目、提高患者依从性是减轻结核病患者经济负担的关键举措。

Abstract:
Objective To examine hospitalization expenses and its influencing factors in pulmonary tuberculosis patients in a city of Liaoning province.
Methods We collected the data on 42 356 pulmonary tuberculosis patients hospitalized from January 2007 through 2017 in a city of Liaoning province and analyzed the data retrospectively.
Results The average hospitalization expenses increased from 3 674.54 yuan (RMB) in 2007 to 13 722.64 yuan in 2017 per tuberculosis patient(χ² = 110.00, P < 0.01). The proportion of drug fee and examination fee in TB patients were relatively high, accounting for 57.90% and 23.13% of the total hospitalization cost. The hospitalization expenses was influenced by the patient's discharge status, hospitalization days, occupation, payment method, age, marital status, gender, and the grade of the hospital being admitted to.
Conclusion The hospitalization expenses of tuberculosis patients increased generally during 2007 – 2017 and measures should be taken to reduce financial burden of the patients.

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