| 李杏红,王洪源,刘彦春.北京市某传染病医院14 398例乙型肝炎住院患者特征及费用分析[J].Chinese journal of Epidemiology,2011,32(4):392-395 |
| 北京市某传染病医院14 398例乙型肝炎住院患者特征及费用分析 |
| Characteristies of patients and their medical cost 011 14 398 hospitalized patients suffered form hepatitis B。from a hospital of infectious diseases located in Beijing |
| Received:October 27, 2010 |
| DOI： |
| KeyWord: 乙型肝炎 特征 费用分析 |
| English Key Word: patitis B Patient characteristiCS Cost analysis |
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| Abstract: |
| 目的了解北京市某传染病医院2002—2007年14 398例次乙型肝炎(乙肝)出院患者人口学和疾病特征及住院费用，分析住院总费用相关影响因素。方法采用描述性分析方法分析乙肝出院患者人口学和疾病特征及住院费用；应用多元线性回归后退法分析影响总住院费用的凶素。结果乙肝住院患者男性高于女性(2．9：1)；平均年龄45．2岁。乙肝出院患者死亡比例为7％，平均年龄为55岁。住院患者平均费用为16 947．91元；其中肝硬化患者费用最高，病毒携带患者费用最低。费用构成中药费所占比重最大(62．4％)；医疗费用的影响因素为病种、住院时间、疾病程度(是否手术、合并及伴随疾病)、患者人口学特征、居住地区。结论乙肝住院患者男性比例高于女性；如果发病初期未得到有效控制，发展为慢性肝炎、肝硬化或肝癌，合并症多，预后较差，相应的医疗费用增加。医疗费用不仅与疾病的病种有关，还与疾病的复杂程度、患者特征相关。 |
| English Abstract: |
| Objective Tllis article was to focus on the study of patient’S profile，type and distribution of the disease and the related factors contributing to medical cost on l 4 398 cases of hospitalized patients with hepatitis B from a hospital of infectious diseases located in Beijing.in order to provide basic information on optimizing the prevention and treatment strategies．Methods Information on hospitaI admission of patients with hepatitis B was collected and SPSS 16．0 statistics software package Was used to analyze the profile。disease patterns distribution。snucture of medical costs and main contributors related to medical costs．Results Through analysis，we found that the proportion of male patients was much bigger than that of female patients．with ratio as 2．9．The average age of patients with hepatitis B Was 45．2 years old．The treatment process Was time consuming，and the mortality rate was high．Our data showed that the mortality of hospitalized patients Was uD to 7％and the average age of death was 55 years old．Hepatitis B infection was easy to develop into chronic。cirrhosis and even Iiver CanCer．For treatment CA)st。the largest COSt share was the drugs being used which accounted for 62．4％．In terms of health care costs．it was high and the totaI COSt of hospitalization Was related tO the following factors：days of hospitalization；complexity of the disea．∽condition and the factors as the severity ofthe disease complications as surgery，frequencies of rescue，type of disease etc；basic information of the patients as age，occupation，origin．Conclusion Compared with other diseases，the proportion of male patients with hepatitis B was much higher than that of the famale．Hepatitis B had a longer duration and difficult．treatment high cost of medicaI cage．poor prognosis，high mortality rate；Cost control，can not simply fixcd by single disease，but by complexity of the disease and patient characteristics． |
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