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张钰琪, 武轶群, 魏晨璐, 杨成, 周子君, 胡永华. 北京2008-2012年缺血性脑卒中患者住院费用分析[J]. 中国公共卫生, 2016, 32(5): 670-672. DOI: 10.11847/zgggws2016-32-05-29
引用本文: 张钰琪, 武轶群, 魏晨璐, 杨成, 周子君, 胡永华. 北京2008-2012年缺血性脑卒中患者住院费用分析[J]. 中国公共卫生, 2016, 32(5): 670-672. DOI: 10.11847/zgggws2016-32-05-29
ZHANG Yu-qi, WU Yi-qun, WEI Chen-lu, . Hospitalization cost for ischemic patients in Beijing, 2008-2012[J]. Chinese Journal of Public Health, 2016, 32(5): 670-672. DOI: 10.11847/zgggws2016-32-05-29
Citation: ZHANG Yu-qi, WU Yi-qun, WEI Chen-lu, . Hospitalization cost for ischemic patients in Beijing, 2008-2012[J]. Chinese Journal of Public Health, 2016, 32(5): 670-672. DOI: 10.11847/zgggws2016-32-05-29

北京2008-2012年缺血性脑卒中患者住院费用分析

Hospitalization cost for ischemic patients in Beijing, 2008-2012

  • 摘要: 目的 了解北京地区缺血性脑卒中患者住院费用情况。方法 利用2008-2012年北京市15所三级医院和15所二级医院中缺血性脑卒中患者住院费用数据,对其住院费用进行描述分析。结果 研究纳入74198例缺血性脑卒中住院病例,男性占67.0%,病例平均年龄为(67.2±11.7)岁,平均占床日为18.52 d;次均住院费为17789元,住院费中药费所占比例最大(49.7%),次均药费为8837元,检查治疗费和床位费次均费用分别为6250和553元;次均住院费随病例年龄增长呈上升趋势(P<0.05),三级医院次均住院费(19345元)高于二级医院(14321元),差异有统计学意义(P<0.05);2008-2012年缺血性脑卒中次均住院费逐年上升(P<0.05)。结论 北京地区缺血性脑卒中住院费用负担仍较重,且有缓慢上升趋势,住院费用中药费所占比例明显高于西方发达国家,可采取规范用药、减少药物花费等综合措施控制费用增长。

     

    Abstract: Objective To analyze the cost of hospitalization for ischemic stroke patients in hospitals in Beijing.Methods The study based on the data collected from 15 tertiary hospitals and 15 second-class hospitals in Beijing from 2008 to 2012.The study applied a descriptive design to investigate the hospitalization cost of ischemic stroke patients.Results Totally 74 198 ischemic stroke inpatients with a mean age of 67.2±11.7 years were included in the study, of which 67.0% were male.The average hospitalization cost of the inpatients was 17 789 Yuan(RMB).The average medication cost was 8 837 Yuan, accounting for a major part(49.7%) of total hospitalization cost.The hospitalization cost increased with the increment of age of the inpatients(P<0.05).The hospitalization cost for the inpatients stayed in tertiary hospitals was higher than that in second-class hospitals(19 345 Yuan vs. 14 321 Yuan, P<0.05).The hospitalization expenses for the ischemic stroke inpatients showed an increasing trend during the period from 2008 to 2012(P<0.05).Conclusion The burden of hospitalization cost of ischemic stroke inpatients is still heavy and increases in recent years in Beijing.The proportion of expenses for tradional Chinese medications in total hospitalization cost is higher than that in western countries.To control the increasing trend in hospitalization cost, comprehensive measures like standardizing medications utilization and reducing the mediations expenses should be adopted.

     

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