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史晓媛, 白亚娜, 胡晓斌, 赵迟, 唐丹华, 刘磊, 杨爱民, 刘鹏, 谭姣, 高娟. 暴力性伤害住院患者直接经济负担趋势分析[J]. 中国公共卫生, 2013, 29(3): 320-322. DOI: 10.11847/zgggws2013-29-03-04
引用本文: 史晓媛, 白亚娜, 胡晓斌, 赵迟, 唐丹华, 刘磊, 杨爱民, 刘鹏, 谭姣, 高娟. 暴力性伤害住院患者直接经济负担趋势分析[J]. 中国公共卫生, 2013, 29(3): 320-322. DOI: 10.11847/zgggws2013-29-03-04
SHI Xiao-yuan, BAI Ya-na, HU Xiao-bin.et al, . Direct economic burden of inpatients with violence injury[J]. Chinese Journal of Public Health, 2013, 29(3): 320-322. DOI: 10.11847/zgggws2013-29-03-04
Citation: SHI Xiao-yuan, BAI Ya-na, HU Xiao-bin.et al, . Direct economic burden of inpatients with violence injury[J]. Chinese Journal of Public Health, 2013, 29(3): 320-322. DOI: 10.11847/zgggws2013-29-03-04

暴力性伤害住院患者直接经济负担趋势分析

Direct economic burden of inpatients with violence injury

  • 摘要: 目的了解暴力性伤害住院患者直接经济负担及变化趋势,预测2009-2011年暴力性伤害患者住院费用,为暴力性伤害的防治和降低其疾病负担提供理论依据。方法对甘肃省整群抽取的2所综合医院1994-2008年收治的2 141例暴力性伤害患者的住院费用进行回顾性分析。结果1994-2008年暴力性伤害患者人均住院费用(GHCs/P)、日均住院费用(GHCs/D)分别为2 849.57、270.87元,均呈逐年上升趋势(P=0.000);平均住院日为10.52 d,呈逐年下降趋势(rs=-0.868,P=0.000);GHCs/P、GHCs/D和平均住院日年度变化百分比(EAPC)分别为9.88%、13.47%和-3.27%;暴力性伤害住院患者例均住院费用中,医疗服务费、药费、检验费、治疗费、手术费和其他费用分别占3.87%、45.83%、13.34%、19.58%、16.56%和0.82%;医疗服务费、药费、检验费、治疗费和手术费均呈正相关(P<0.05),其EAPC依次为19.36%、8.54%、12.52%、2.94%和27.25%。结论暴力性伤害患者直接经济负担呈逐年增长趋势,高比例的药费和快速上升的手术费是其增长的主要原因。

     

    Abstract: ObjectiveTo examine the direct economic burden of inpatients with violent injuy and to provide theoretical basis for reducing the burden.MethodsCluster sampling method was adopted to collect medical record data of violent injury inpatients from 1994 to 2008 in two general hospitals at Lanzhou city.The hospitalization expenses of the inpatients were analyzed.ResultsThe geometric mean of hospitalization cost per patient(GHCs/P) and the geometric mean of hospitalizatiion cost per day(GHCs/D) were 2 849.57 and 270.87 RMB Yuan and showed a increasing trend(P=0.000) with the estimated annual percentage change(EAPC) of 9.88% and 13.47%,respectively.The average hospitaliation time was 12.5 days and decreased yearly(rs=0.868,P=0.000) with an EAPC of -3.27%.The cost for medical service,medicine,medical examination,treatment,and operation accounted for 3.87%,45.83%,13.34%,19.58%,and 16.56% of the average total hospotalization expense for one inpatient,respectively,with the EAPC of 19.36%,8.54%,12.52%,2.94%,and 27.25%.There were positive correlations among the cost of medical service,medicine,examination,treatment,and operation.ConclusionThe direct economic burden for inpatients with violent injury increased yearly because of the rapid increases of medicine and operation expenses.

     

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