摘要
目的 探索新疆维吾尔自治区县级医院肝囊型包虫病(CE)患者的住院费用情况,分析国家补助政策的实施情况.方法 对2014年1月1日至2017年12月31日新疆县级包虫病外科救治定点医院救治的841例肝CE手术患者住院费用进行构成比、均数和中位数比较,运用单因素和多元逐步回归分析住院费用的影响因素.结果 住院费用共计10278126.47元,人均12221.32元,中位数11500.66元.其中药费占比最大为32.48%.影响住院费用的显著影响因素为住院天数、有无医疗保险和病灶数量.医保患者818人,医保后补助金额共计2832744.54元,人均3463.01元,中位数3,136.63元,补助2000~4000元者最多(52.69%).医保和国家补助后无需自付患者770人(94.13%);仍需自付患者48人(5.87%),自付金额共计92162.06元,人均1920.04元,中位数542.93元,自付0~2000元者最多(70.83%).无医保患者23人,补助金额共计173573.57元,人均7546.68元,中位数7766.99元,全部按最高金额补助.补助后均需自付,共计148382.91元,人均6541.43元,中位数4599.47元,自付4000~6000元者最多(39.13%).结论 国家补助政策基本可以满足县级医院救治的肝CE患者,各家医院应注意调整药占比、提高技术水平和控制住院天数,有效控制住院总费用.
Objectives To explore the hospitalization expenses of patients with Hepatic Cystic Echin ococcosis(HCE)in county hospitals in Xinjiang,and to analyze the implementation of the state subsidy policy.Methods Describe the constituent ratio,mean and median descriptions of hospitalization expenses of 841surgical treatment patients with HCE in county hospitals of Xinjiang from 2014 to 2017.Analysis the influencing factors of hospitalization expenses by single factor and logistic stepwise regression analysis.Results The total cost of hospitalization was 10,278,126.47 yuan,and the average person was 12,221.32 yuan,with a median of 11,500.66 yuan.Drug costs accounted for the largest 32.48%.The significant influencing factors of hospitalization expenses were length of stay,medical insurance and number of lesions.There were 818 patients covered by medical insurance,and the total amount of subsidy after medical insurance was 2,832,744.54 yuan,the average person was 3463.01 yuan,the median was 3,136.63 yuan,and the largest amount of subsidy was 2,000 to 4,000 yuan(52.69%).770 patients(94.13%)did not need to pay for medical insurance and state subsidies;Forty-eight patients(5.87%)still needed to pay by themselves,with a total amount of 92 162.06 yuan,1920.04 yuan per capita,with a median of 542.93 yuan,and the largest amount of 0~2000 yuan(70.83%).There were 23 uninsured patients with a total subsidy amount of 173,573.57 yuan,with the average person of 7546.68 yuan and the median of 7766.99 yuan,all of which were subsidized according to the maximum amount.After subsidy,the subsidy should be paid by oneself,a total of 148382.91 yuan,the average person was 6541.43 yuan,the median was 4599.47 yuan,and those who pay 4000~6000 yuan are the most(39.13%).Conclusions The national economic subsidy policy could basically meet the needs of HCE patients treated in county hospitals.Hospitals should pay attention to adjusting the proportion of drugs,improving technical level and controlling days,so as to control the total cost of hospitalization.
作者
李波霖
王明霞
董严严
林仁勇
温浩
吐尔干艾力·阿吉
邵英梅
Li Bolin;Wang Mingxia;Dong Yanyan;Lin Renyong;Wen Hao;Tuerganaili Ali;Shao Yingmei(The First Affiliated Hospital of Xinjiang Medical University,Urumqi 830054,Xinjiang Uygur Autonomous Region,China)
出处
《中国病案》
2019年第9期54-57,共4页
Chinese Medical Record
基金
省部共建中亚高发病成因与防治国家重点实验室开放课题(SKL-HIDCA-2017-Y14)
关键词
县级医院
包虫病
住院费用
影响因素
County hospital
Hydatid disease
Hospitalization costs
Influencing factors
作者简介
通信作者:邵英梅
