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徐俊芳, 江超, 邢金水, 苏磊, 于风华, 王健. 不同年龄段精神疾病患者住院费用时间序列分析[J]. 中国公共卫生, 2015, 31(8): 1059-1063. DOI: 10.11847/zgggws2015-31-08-23
引用本文: 徐俊芳, 江超, 邢金水, 苏磊, 于风华, 王健. 不同年龄段精神疾病患者住院费用时间序列分析[J]. 中国公共卫生, 2015, 31(8): 1059-1063. DOI: 10.11847/zgggws2015-31-08-23
XU Jun-fang, JIANG Chao, XING Jin-shui.et al, . Hospitalization costs in mental illness patients of different age: a time series analysis[J]. Chinese Journal of Public Health, 2015, 31(8): 1059-1063. DOI: 10.11847/zgggws2015-31-08-23
Citation: XU Jun-fang, JIANG Chao, XING Jin-shui.et al, . Hospitalization costs in mental illness patients of different age: a time series analysis[J]. Chinese Journal of Public Health, 2015, 31(8): 1059-1063. DOI: 10.11847/zgggws2015-31-08-23

不同年龄段精神疾病患者住院费用时间序列分析

Hospitalization costs in mental illness patients of different age: a time series analysis

  • 摘要: 目的 比较不同年龄段精神疾病患者住院费用及其变化趋势。方法 采用回顾性研究方法纵向分析山东省精神卫生中心2005-2012年9 841例精神疾病患者的住院费用。结果 青年患者的平均住院天数最长, 为51 d, 老年患者最短, 为39 d。2005-2012年, 不同年龄段精神疾病患者的日均住院费用和人均住院费用均呈现增长趋势, 2012年青年、中年、老年患者的日均住院费用分别增长到263.33、236.63、241.13元, 人均住院费用分别达到12 779、10 996、9 233.5元, 2009年人均住院费用年增长率分别高达25.41%、41.89%、63.38%。药费、诊疗费和床位费是不同年龄段精神疾病患者的主要组成部分, 2009-2012年药费所占比例出现下降趋势。住院天数是中青年精神疾病患者住院费用的最主要影响因素, 而住院次数是老年患者住院费用的最主要影响因素。结论 青年、中年和老年精神疾病患者住院费用普遍较高, 应加强对不同年龄段精神疾病患者的经济补偿, 减轻精神疾病患者的经济负担。

     

    Abstract: Objective To compare hospitalization costs among mental illness patients of different age.Methods With retrospective study method,hospitalization records of 9 841 patients with mental illness from 2005 to 2012 were collected and analyzed.Results The average hospitalization day of young patients was the longest(51 days)and that of the elderly patients was the shortest(39 days).Average per capita and daily hospitalization expenses of the mental illness patients showed an increasing trend during the period.In 2012,the average daily hospitalization expenses were 263.33,236.63,and 241.13 RMB yuan and the average per capita hospitalization expenses were 12 779,10 996,and 9 233 RMB yuan for the young(≤44 years old),middle-aged(45- 59 years),and elderly patients(≥60 years),respectively.In 2009,the annual growth rate of per capita hospitalization costs were 25.41%,41.89%,and 63.38%for the young,middle-aged,and elderly patients,respectively.The cost for drug,diagnosis and treatment,and bedding were the main components of hospitalization expenses for the patients.The drug cost showed a declining trend from 2009 to 2012.Duration of hospitalization was the main factor affecting hospitalization cost of the patients under the age of 60 years;whereas the times of hospitalization was the main influencing factor of hospitalization cost for the elderly patients.Conclusion The hospitalization costs of young,middle-aged and elderly mental illness patients were generally high.Increasing economic compensation for mental disease patients of different age and reducing the economic burden of the patients should be concerned.

     

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