目的 了解天津市参保心绞痛患者住院费用构成及其影响因素,为有效控制住院费用提供参考依据。方法从天津市2004-2007年城市居民基本医疗保险数据库中随机抽取心绞痛确诊患者5 826例,对其住院费用情况进行回顾性分析。结果 天津市2004-2007年参保心绞痛患者人均住院费用为14 793.01元,其中一级医院为4 329.77元;二级医院为7 427.15元;三级医院为16 524.95元;参保心绞痛患者药品费、检查费、治疗费、手术费、床位费、医用材料费、输全血费、成分输血费和其他费用分别为3 807.89、1 706.71、1 680.25、269.75、414.64、6 828.82、12.70、38.21和34.02元,分别占25.74%1、1.54%、11.36%1、.82%、2.80%、46.16%、0.09%0、.26%和0.23%;多元线性回归分析结果表明,医院级别高、住院天数多、住院次数多和手术治疗的心绞痛患者住院费用越高;女性和年龄较大的心绞痛患者住院费用越低。结论 性别、年龄、医院级别、住院天数、住院次数和手术治疗是天津市参保心绞痛患者住院费用的主要影响因素。
Objective To analyze hospitalization expense and its main influencing factors in angina patients and to provide references for controlling the excessive increase in medical expense. Methods A retrospective study was conducted based on a random sample of 5 826 hospitalized patients with medical insurance from January 2004 to December 2007 in Tianjin city. Results The mean hospitalization cost was 14 793.01 RMB yuan per patient from 2004 to 2007.The mean hospitalization cost was 4 329.77 RMB yuan per patient in first-grade hospital,7 427.15 RMB yuan per patient in secondgrade hospital,and 16 524.95 RMB yuan per patient in third-grade hospital.The items of hospitalization cost of angina patients with medical insurance were as follows:medicine(3 807.89 RMB yuan,25.74%),examination(1 706.71 RMB yuan,11.54%),treatment(1 680.25 RMB yuan,11.36%),surgery(269.75 RMB yuan,1.82%),bedding(414.64 RMB yuan,2.80%),materials(6 828.82 RMB yuan,46.16%),transfusion(12.70 RMB yuan,0.09%),component transfusion (38.21 RMB yuan,0.26%),and other costs(34.02 RMB yuan,0.23%).The results of multiple linear regression showed that the patients in higher grade hospital,with longer hospitalization,and having operation treatment had much more cost than other patients.The female and elder patients had less cost. Conclusion Gender,age,grade of hospital,time of hospitalization,times of admission and operation are the influencing factors of the hospitalization cost for angina patients in Tianjin city.